| Prescott Opc | |
|
2517 N Great Western Dr Ste P Prescott Valley AZ 86314-2597 | |
| (928) 777-4131 | |
| (928) 227-4589 |
| Full Name | Prescott Opc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2517 N Great Western Dr Ste P, Prescott Valley, Arizona |
| Authorized Official Name and Position | Brooke Wilson (SENIOR CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9287724131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Opc 2517 N Great Western Dr Ste P Prescott Valley AZ 86314-2597 Ph: (928) 777-4131 | Prescott Opc 2517 N Great Western Dr Ste P Prescott Valley AZ 86314-2597 Ph: (928) 777-4131 |
| NPI Number | 1376601914 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 09/02/2025 |
| Certification Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376601914 | NPI | - | NPPES |
| 210064 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | BH-2730 (Arizona) | Secondary |
| 101YM0800X | Counselor - Mental Health | BH-3517 (Arizona) | Primary |
Professional Counseling Services, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8183 E Florentine Rd, Suite B, Prescott Valley, AZ 86314 Phone: 928-772-3499 Fax: 928-772-3491 |
Spectrum Healthcare Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3274 Bob Dr, Prescott Valley, AZ 86314 Phone: 877-634-7333 Fax: 866-984-3891 |
Polara Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3347 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-583-6411 Fax: 928-775-9231 |
Aslanian Counseling Services PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2825 N Glassford Hill Rd Ste B, Prescott Valley, AZ 86314 Phone: 928-421-2385 |
Sequelcare of Arizona, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8603 E Eastridge Rd, Prescott Valley, AZ 86314 Phone: 928-777-3280 |
Best Care Behavioral Homes LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5385 W Saddleback Drive, Prescott Valley, AZ 86314 Phone: 928-793-2216 Fax: 602-675-1703 |