| Prescott Valley Center For Couples And Famlies | |
|
2517 N Great Western Dr Ste L Prescott Valley AZ 86314-2597 | |
| (928) 793-2233 | |
| Not Available |
| Full Name | Prescott Valley Center For Couples And Famlies |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2517 N Great Western Dr Ste L, Prescott Valley, Arizona |
| Authorized Official Name and Position | Branden Hayes Henline (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9288308501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Valley Center For Couples And Famlies 758 W Valley View Way Lehi UT 84043-2667 Ph: (928) 830-8501 | Prescott Valley Center For Couples And Famlies 2517 N Great Western Dr Ste L Prescott Valley AZ 86314-2597 Ph: (928) 793-2233 |
| NPI Number | 1437691649 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 04/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437691649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LMFT-15128 (Arizona) | Primary |
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