| Cultivate Counseling Pllc | |
|
624 N Humphreys St Ste 1 Flagstaff AZ 86001-3070 | |
| (928) 814-0122 | |
| Not Available |
| Full Name | Cultivate Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 624 N Humphreys St Ste 1, Flagstaff, Arizona |
| Authorized Official Name and Position | Kristopher Dohse (MANAGER) |
| Authorized Official Contact | 9288645024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivate Counseling Pllc 624 N Humphreys St Ste 1 Flagstaff AZ 86001-3070 Ph: () - | Cultivate Counseling Pllc 624 N Humphreys St Ste 1 Flagstaff AZ 86001-3070 Ph: (928) 814-0122 |
| NPI Number | 1700383411 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700383411 | NPI | - | NPPES |
| 1487193538 | Other | UNITED | |
| 1487193538 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 15628 (Arizona) | Primary |
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