| Family Care Center, LLC | |
|
1910 S Stapley Dr Ste 209 Mesa AZ 85204-6679 | |
| (719) 540-2100 | |
| Not Available |
| Full Name | Family Care Center, LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1910 S Stapley Dr Ste 209, Mesa, Arizona |
| Authorized Official Name and Position | Christian M Ellis (PROVIDER ENGAGEMENT & CREDENTIALING) |
| Authorized Official Contact | 7655402100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Center, LLC 2860 S Circle Dr Ste 109 Colorado Springs CO 80906-4195 Ph: (719) 540-2100 | Family Care Center, LLC 1910 S Stapley Dr Ste 209 Mesa AZ 85204-6679 Ph: (719) 540-2100 |
| NPI Number | 1598535288 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Medicare PECOS PAC ID | 5991064420 |
|---|---|
| Medicare Enrollment ID | O20240903000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598535288 | NPI | - | NPPES |
| Provider Name | Lynn M Nunemacher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790920882 PECOS PAC ID: 0446308233 Enrollment ID: I20090505000400 |
| Provider Name | Paul C Boulware |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609912146 PECOS PAC ID: 9335291558 Enrollment ID: I20090720000410 |
| Provider Name | Carlos G Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043287048 PECOS PAC ID: 7416143060 Enrollment ID: I20110406000920 |
| Provider Name | Patricia Orozco Kirby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215003207 PECOS PAC ID: 2062699838 Enrollment ID: I20110602000650 |
| Provider Name | John S Leipsic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841281060 PECOS PAC ID: 5890961122 Enrollment ID: I20120106000832 |
| Provider Name | Lori N Popeski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518073790 PECOS PAC ID: 8527154046 Enrollment ID: I20120131000143 |
| Provider Name | Stacey Stocks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558699843 PECOS PAC ID: 5698939262 Enrollment ID: I20120611000551 |
| Provider Name | Jeffery B Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467627703 PECOS PAC ID: 4789902982 Enrollment ID: I20150420001835 |
| Provider Name | Suzanne K Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861608861 PECOS PAC ID: 0941582027 Enrollment ID: I20170125001349 |
| Provider Name | Andrew Lynn Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912188582 PECOS PAC ID: 9931464922 Enrollment ID: I20180522001283 |
| Provider Name | Bethany Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932630373 PECOS PAC ID: 5294169769 Enrollment ID: I20191217001414 |
| Provider Name | Preston Strebeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619584406 PECOS PAC ID: 8820400484 Enrollment ID: I20201224000039 |
| Provider Name | Shana M Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689976938 PECOS PAC ID: 5991114878 Enrollment ID: I20210505000975 |
| Provider Name | Kjerstin Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275200206 PECOS PAC ID: 5395133466 Enrollment ID: I20211021001867 |
| Provider Name | Donald E Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710132246 PECOS PAC ID: 1557516796 Enrollment ID: I20220714000913 |
| Provider Name | Audra Denise Ekeinde-jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295269884 PECOS PAC ID: 5698156057 Enrollment ID: I20220715001254 |
| Provider Name | Shelby Carrera Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821726175 PECOS PAC ID: 5698159887 Enrollment ID: I20220907003427 |
| Provider Name | Avigayil Malia Tanami |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124748413 PECOS PAC ID: 1850769894 Enrollment ID: I20221122001704 |
| Provider Name | Oksana Mcfall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326787508 PECOS PAC ID: 5890164958 Enrollment ID: I20221212001852 |
| Provider Name | Jonneth Santschi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134385834 PECOS PAC ID: 4981052511 Enrollment ID: I20231121000824 |
| Provider Name | Jennie M Whitmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831740257 PECOS PAC ID: 3678922895 Enrollment ID: I20231213003665 |
| Provider Name | Leann Charles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306239843 PECOS PAC ID: 8224489307 Enrollment ID: I20240112003370 |
| Provider Name | Yvette Tirello |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770826216 PECOS PAC ID: 8628420957 Enrollment ID: I20240122004493 |
| Provider Name | Alanna B Boyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124206610 PECOS PAC ID: 1951744598 Enrollment ID: I20240209003516 |
| Provider Name | Melissa Longe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811270051 PECOS PAC ID: 0446692065 Enrollment ID: I20240814001502 |
| Provider Name | Adam F Patterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912744582 PECOS PAC ID: 2769920164 Enrollment ID: I20240816000643 |
| Provider Name | Mireille Beauchaine Reece |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841434123 PECOS PAC ID: 3476603416 Enrollment ID: I20240821004276 |
| Provider Name | Joanna Louise Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932969037 PECOS PAC ID: 4486194677 Enrollment ID: I20240914000603 |
| Provider Name | Stephanie Laev Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558866160 PECOS PAC ID: 2062943582 Enrollment ID: I20241008000858 |
| Provider Name | Charles Lee Weber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841277258 PECOS PAC ID: 1254600935 Enrollment ID: I20241112001648 |
| Provider Name | Tracy Nickol Connor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104022896 PECOS PAC ID: 7214021492 Enrollment ID: I20241115001858 |
| Provider Name | Dollmarie Adorno Rondon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255684320 PECOS PAC ID: 0345775623 Enrollment ID: I20241122002931 |
| Provider Name | Belinda Ufei Fomba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194434738 PECOS PAC ID: 2264898816 Enrollment ID: I20241123000041 |
| Provider Name | Cordell Thomas Cheret |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194375352 PECOS PAC ID: 4981139177 Enrollment ID: I20241125003031 |
| Provider Name | Tyson Karl Lippe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164804282 PECOS PAC ID: 7113216888 Enrollment ID: I20241205002794 |
| Provider Name | Theresa Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790591543 PECOS PAC ID: 4385170356 Enrollment ID: I20241213001811 |
| Provider Name | Kartiki Churi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619137189 PECOS PAC ID: 2769630243 Enrollment ID: I20241220000510 |
| Provider Name | Naomi Mendoza Ealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649882929 PECOS PAC ID: 8325576341 Enrollment ID: I20250103002167 |
| Provider Name | Ryan Troy Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811184955 PECOS PAC ID: 3577091412 Enrollment ID: I20250106003727 |
| Provider Name | Janice Webb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982315677 PECOS PAC ID: 7517488315 Enrollment ID: I20250310002383 |
| Provider Name | Nicole Lawson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790141422 PECOS PAC ID: 3577909563 Enrollment ID: I20250408002615 |
| Provider Name | Frank Paul Pallavicini |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093731259 PECOS PAC ID: 6901322486 Enrollment ID: I20250428002889 |
| Provider Name | Jennifer Dawn Simon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447145404 PECOS PAC ID: 2769997931 Enrollment ID: I20250716001014 |
| Provider Name | Bailey Roby |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073090445 PECOS PAC ID: 3779098827 Enrollment ID: I20250716003299 |
| Provider Name | Haley Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639915085 PECOS PAC ID: 1355880717 Enrollment ID: I20250806001736 |
| Provider Name | Rachel Lambert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447056536 PECOS PAC ID: 7315445624 Enrollment ID: I20250806004500 |
| Provider Name | Mandy Le Gann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033952718 PECOS PAC ID: 7012415094 Enrollment ID: I20250808002856 |
| Provider Name | Irene Ocharo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124848080 PECOS PAC ID: 0749719136 Enrollment ID: I20250821003297 |
| Provider Name | Lori Janik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952183139 PECOS PAC ID: 6507366606 Enrollment ID: I20250822003922 |
| Provider Name | Jordan Jessica Field |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275425506 PECOS PAC ID: 8527568450 Enrollment ID: I20250825001285 |
| Provider Name | Taylor Lyn Kruse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568111706 PECOS PAC ID: 7810498367 Enrollment ID: I20250827003992 |
| Provider Name | Obumneke Jessica Ugbor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992373906 PECOS PAC ID: 3870094345 Enrollment ID: I20250827004551 |
| Provider Name | Karen Renee Lukinbeal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811705874 PECOS PAC ID: 6406358712 Enrollment ID: I20250905003364 |
| Provider Name | Vicki Robin Spahr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366069072 PECOS PAC ID: 3274035423 Enrollment ID: I20250905004310 |
| Provider Name | Janet Irene Bonner West |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992765150 PECOS PAC ID: 9931488285 Enrollment ID: I20251006004041 |
| Provider Name | Erica T Johnson-brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609144062 PECOS PAC ID: 9234636119 Enrollment ID: I20251007004022 |
| Provider Name | Denise a Garnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144503970 PECOS PAC ID: 9335636869 Enrollment ID: I20251016004212 |
| Provider Name | Cassandra Piercin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942708912 PECOS PAC ID: 2365930450 Enrollment ID: I20251021003249 |
| Provider Name | Jenny Cerutti Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467288274 PECOS PAC ID: 0143719765 Enrollment ID: I20251101000137 |
| Provider Name | Sherri Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437926797 PECOS PAC ID: 8022459312 Enrollment ID: I20251103001403 |
| Provider Name | Mark David Levine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376996462 PECOS PAC ID: 7416448014 Enrollment ID: I20251111003759 |
| Provider Name | Jasmine Elia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952984510 PECOS PAC ID: 6709277338 Enrollment ID: I20251112000482 |
| Provider Name | Karlee Brandt Cannell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235005265 PECOS PAC ID: 8325539984 Enrollment ID: I20251112001448 |
| Provider Name | Christine Lynne Spotted Elk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043595671 PECOS PAC ID: 0749771301 Enrollment ID: I20251112001600 |
| Provider Name | Katelynn Wychulis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912451261 PECOS PAC ID: 5799276275 Enrollment ID: I20251112002461 |
| Provider Name | Katelynn Wychulis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912451261 PECOS PAC ID: 5799276275 Enrollment ID: I20251113002599 |
| Provider Name | Ronit Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568679579 PECOS PAC ID: 4385779776 Enrollment ID: I20251117000762 |
| Provider Name | Ryan Bartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972271625 PECOS PAC ID: 6608369111 Enrollment ID: I20251203002360 |
| Provider Name | Jennifer Shea Fillmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396877411 PECOS PAC ID: 4486147618 Enrollment ID: I20251204004916 |
| Provider Name | Seth Herbel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083494942 PECOS PAC ID: 0244725836 Enrollment ID: I20251221000156 |
| Provider Name | Allison Wurscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023854635 PECOS PAC ID: 0244777530 Enrollment ID: I20251221000165 |
| Provider Name | Gina Frohlich Felix |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659240141 PECOS PAC ID: 6709371073 Enrollment ID: I20251223004650 |
| Provider Name | Shaina Brockway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104787530 PECOS PAC ID: 9032695523 Enrollment ID: I20260114003859 |
| Provider Name | Erin Cisewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679236772 PECOS PAC ID: 5294212346 Enrollment ID: I20260121001211 |
| Provider Name | Harrison Crawford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891004081 PECOS PAC ID: 6305324765 Enrollment ID: I20260128002423 |
| Provider Name | Paul H Mckellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427933217 PECOS PAC ID: 0446738652 Enrollment ID: I20260129002571 |
| Provider Name | Justin Michael Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073478111 PECOS PAC ID: 3476033721 Enrollment ID: I20260216002576 |
| Provider Name | Grant D Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356482921 PECOS PAC ID: 5799265534 Enrollment ID: I20260219001058 |
| Provider Name | Lese R Lackey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073937868 PECOS PAC ID: 4486135076 Enrollment ID: I20260222000167 |
| Provider Name | Jestene Lilly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780201418 PECOS PAC ID: 5799138657 Enrollment ID: I20260305003301 |
| Provider Name | Britney Linzy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740899699 PECOS PAC ID: 1355824194 Enrollment ID: I20260310004705 |
| Provider Name | Erica Walls |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598616534 PECOS PAC ID: 0941783500 Enrollment ID: I20260311003206 |
| Provider Name | Carrie Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124297668 PECOS PAC ID: 7416430624 Enrollment ID: I20260316000687 |
| Provider Name | Gabriela Becerra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245872530 PECOS PAC ID: 2163906272 Enrollment ID: I20260317003058 |
| Provider Name | Olivia Aguilera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962227975 PECOS PAC ID: 9133694359 Enrollment ID: I20260406002517 |
| Provider Name | Brenda Chanel Demayo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518636448 PECOS PAC ID: 5597231993 Enrollment ID: I20260414001590 |
| Provider Name | Lakeisha Johnson Ganster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639760192 PECOS PAC ID: 0042787855 Enrollment ID: I20260429003279 |
| Provider Name | Adalesa F Meek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558546549 PECOS PAC ID: 7810439726 Enrollment ID: I20260429004326 |
| Provider Name | Rebecca Irene Wigton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023894169 PECOS PAC ID: 3779050414 Enrollment ID: I20260430000130 |
| Provider Name | Sarah Barton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598496390 PECOS PAC ID: 8426401506 Enrollment ID: I20260430001541 |
| Provider Name | Celenn Tonia Ramsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487266573 PECOS PAC ID: 0941777585 Enrollment ID: I20260430003284 |
| Provider Name | Amee Kim Vermeire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528686623 PECOS PAC ID: 3072084995 Enrollment ID: I20260602001232 |
| Provider Name | Shawna Lynn Mckee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821619248 PECOS PAC ID: 0648741280 Enrollment ID: I20260604003455 |
| Provider Name | Ollie Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649996430 PECOS PAC ID: 9133691793 Enrollment ID: I20260615001912 |
| Provider Name | Nancy Franklin-hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598474256 PECOS PAC ID: 9133692619 Enrollment ID: I20260625003519 |
Wendy Hart Ph.d., PC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2222 S Dobson Rd, Suite 1004, Mesa, AZ 85202 Phone: 480-775-8811 Fax: 480-775-8866 |
Maricopa Special Health Care District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 W Brown Rd, Mesa, AZ 85201 Phone: 602-344-8178 Fax: 602-344-8122 |
Supreme Positive Innovation Services LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1833 W Main St Ste 139-140, Mesa, AZ 85201 Phone: 602-757-6786 |
East Valley Child Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 S Stapley Dr Ste 221, Mesa, AZ 85204 Phone: 480-202-1285 |
Ohana Behavioral Services, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2735 E Main St Ste 9, Mesa, AZ 85213 Phone: 619-823-9444 |
Circle of Hope LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 E University Dr # P7, Mesa, AZ 85203 Phone: 480-597-4980 |