| Lone Rock Counseling | |
|
10314 W Rosewood Ln Peoria AZ 85383-8905 | |
| (602) 769-2968 | |
| Not Available |
| Full Name | Lone Rock Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 10314 W Rosewood Ln, Peoria, Arizona |
| Authorized Official Name and Position | Troy J Loosle (OWNER/MANAGER) |
| Authorized Official Contact | 6027692968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Rock Counseling 10314 W Rosewood Ln Peoria AZ 85383-8905 Ph: (602) 769-2968 | Lone Rock Counseling 10314 W Rosewood Ln Peoria AZ 85383-8905 Ph: (602) 769-2968 |
| NPI Number | 1184456501 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Medicare PECOS PAC ID | 9931622925 |
|---|---|
| Medicare Enrollment ID | O20250331002679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184456501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Troy J Loosle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316366057 PECOS PAC ID: 3173741857 Enrollment ID: I20140820002894 |
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