| San Tan Counseling Llc | |
|
288 N Ironwood Dr Ste 101 Apache Junction AZ 85220-3830 | |
| (480) 982-2356 | |
| (480) 982-2449 |
| Full Name | San Tan Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 288 N Ironwood Dr Ste 101, Apache Junction, Arizona |
| Authorized Official Name and Position | D Paul Smith (CEO) |
| Authorized Official Contact | 8012923131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Tan Counseling Llc 288 N Ironwood Dr Apache Junction AZ 85220-3830 Ph: (480) 982-2356 | San Tan Counseling Llc 288 N Ironwood Dr Ste 101 Apache Junction AZ 85220-3830 Ph: (480) 982-2356 |
| NPI Number | 1043460397 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 07/06/2009 |
| Medicare PECOS PAC ID | 2264582964 |
|---|---|
| Medicare Enrollment ID | O20090617000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043460397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Arizona) | Primary |
| Provider Name | Merrill R Heslop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467438929 PECOS PAC ID: 9739114448 Enrollment ID: I20051004000297 |
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