| Painted Desert Counseling | |
|
1310 Smithson Dr Holbrook AZ 86025-1947 | |
| (928) 503-1827 | |
| Not Available |
| Full Name | Painted Desert Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1310 Smithson Dr, Holbrook, Arizona |
| Authorized Official Name and Position | Gretchen Elizabeth Herndon (COUNSELOR) |
| Authorized Official Contact | 9285031827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Painted Desert Counseling 1310 Smithson Dr Holbrook AZ 86025-1947 Ph: (928) 503-1827 | Painted Desert Counseling 1310 Smithson Dr Holbrook AZ 86025-1947 Ph: (928) 503-1827 |
| NPI Number | 1225632565 |
|---|---|
| Provider Enumeration Date | 11/27/2020 |
| Last Update Date | 11/27/2020 |
| Certification Date | 11/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225632565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Changepoint Integrated Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 103 N 1st Ave, Holbrook, AZ 86025 Phone: 928-537-2951 Fax: 928-892-5828 |