| Easter Seals Blake Foundation | |
|
709 N Allred Ln Ste 106 Thatcher AZ 85552-5561 | |
| (520) 327-1529 | |
| Not Available |
| Full Name | Easter Seals Blake Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 709 N Allred Ln Ste 106, Thatcher, Arizona |
| Authorized Official Name and Position | Marissa S Arendt (CFO) |
| Authorized Official Contact | 5203271529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Blake Foundation 7750 E. Broadway Blvd Suite A-200 Tucson AZ 85710 Ph: (520) 327-1529 | Easter Seals Blake Foundation 709 N Allred Ln Ste 106 Thatcher AZ 85552-5561 Ph: (520) 327-1529 |
| NPI Number | 1053828160 |
|---|---|
| Provider Enumeration Date | 01/10/2018 |
| Last Update Date | 07/22/2026 |
| Certification Date | 07/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053828160 | NPI | - | NPPES |
| OTC12998 | Other | AZ | ADHS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 251B00000X | Case Management | () | Secondary |
| 251S00000X | Community/behavioral Health | () | Primary |