| Kayenta Counseling Services | |
|
Highway 163-bldg-ka-2010 Kayenta AZ 86033-0368 | |
| (928) 695-4000 | |
| (928) 697-4189 |
| Full Name | Kayenta Counseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Highway 163-bldg-ka-2010, Kayenta, Arizona |
| Authorized Official Name and Position | Anna Boone (SUPERVISORY SOCIAL WORKER) |
| Authorized Official Contact | 9286974185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kayenta Counseling Services Po Box 368 Kayenta AZ 86033-0368 Ph: (928) 695-4000 | Kayenta Counseling Services Highway 163-bldg-ka-2010 Kayenta AZ 86033-0368 Ph: (928) 695-4000 |
| NPI Number | 1780878801 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 08/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780878801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LCSW-11436 (Arizona) | Primary |
Sequel Tsi Of Az, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 163, Kayenta Mobile Home Park #8, Kayenta, AZ 86033 Phone: 928-697-3154 Fax: 928-697-3156 |