| Jenis Associates, Llc | |
|
603 N Rosemont Cir Mesa AZ 85205-6427 | |
| (480) 775-3528 | |
| Not Available |
| Full Name | Jenis Associates, Llc |
|---|---|
| Speciality | Counselor |
| Location | 603 N Rosemont Cir, Mesa, Arizona |
| Authorized Official Name and Position | Dawn Renee Beatty-taylor (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4807753528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenis Associates, Llc 4111 E Valley Auto Dr Suite 201 Mesa AZ 85206-4605 Ph: (480) 775-3528 | Jenis Associates, Llc 603 N Rosemont Cir Mesa AZ 85205-6427 Ph: (480) 775-3528 |
| NPI Number | 1154447290 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Medicare PECOS PAC ID | 9234650110 |
|---|---|
| Medicare Enrollment ID | O20250307001506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154447290 | NPI | - | NPPES |
| 7434358 | Other | AZ | AETNA PROVIDER ID |
| 760718268 | Other | AZ | MAGELLAN PROVIDER ID |
| 896467 | Other | AZ | AHCCCS PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-10886 (Arizona) | Primary |
| Provider Name | Dawn Renee Beatty-taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750480257 PECOS PAC ID: 3678094554 Enrollment ID: I20250307001643 |
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