| Premier Trauma Counseling Llc | |
|
4540 E Baseline Rd Ste 105 Mesa AZ 85206-4616 | |
| (480) 272-8944 | |
| Not Available |
| Full Name | Premier Trauma Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4540 E Baseline Rd Ste 105, Mesa, Arizona |
| Authorized Official Name and Position | James Sieffert (PARTNER) |
| Authorized Official Contact | 4802728944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Trauma Counseling Llc 4540 E Baseline Rd Ste 105 Mesa AZ 85206-4616 Ph: (480) 272-8944 | Premier Trauma Counseling Llc 4540 E Baseline Rd Ste 105 Mesa AZ 85206-4616 Ph: (480) 272-8944 |
| NPI Number | 1194592824 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194592824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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