| Gloria's House | |
|
2022 N Pacey Rd Phoenix AZ 85037-6301 | |
| (623) 256-0021 | |
| Not Available |
| Full Name | Gloria's House |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2022 N Pacey Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Delia Consentino (CEO) |
| Authorized Official Contact | 6232560021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria's House 2022 N Pacey Rd Phoenix AZ 85037-6301 Ph: (623) 256-0021 | Gloria's House 2022 N Pacey Rd Phoenix AZ 85037-6301 Ph: (623) 256-0021 |
| NPI Number | 1083326649 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083326649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| 171M00000X | Case Manager/care Coordinator | () | Secondary |
| 175T00000X | Peer Specialist | () | Secondary |
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