| Mesa Verde Counseling Inc | |
|
174 S Coronado Dr Ste B Sierra Vista AZ 85635-6356 | |
| (520) 435-9027 | |
| Not Available |
| Full Name | Mesa Verde Counseling Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 174 S Coronado Dr Ste B, Sierra Vista, Arizona |
| Authorized Official Name and Position | Asa Rhinehart (CFO) |
| Authorized Official Contact | 5204359027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Verde Counseling Inc Po Box 1300 Hereford AZ 85615-1300 Ph: (520) 435-9025 | Mesa Verde Counseling Inc 174 S Coronado Dr Ste B Sierra Vista AZ 85635-6356 Ph: (520) 435-9027 |
| NPI Number | 1043098650 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 3678918380 |
|---|---|
| Medicare Enrollment ID | O20240304001252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043098650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Dawn L Caffarella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063845873 PECOS PAC ID: 6800122045 Enrollment ID: I20190725003935 |
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