| Sonoran Desert Psychotherapy Llc | |
|
15333 N Pima Rd Ste 305 Scottsdale AZ 85260-2717 | |
| (602) 610-6071 | |
| Not Available |
| Full Name | Sonoran Desert Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15333 N Pima Rd Ste 305, Scottsdale, Arizona |
| Authorized Official Name and Position | Beverly Kube (OWNER) |
| Authorized Official Contact | 6027704153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoran Desert Psychotherapy Llc 12740 E Sunnyside Dr Scottsdale AZ 85259-3438 Ph: (602) 610-6071 | Sonoran Desert Psychotherapy Llc 15333 N Pima Rd Ste 305 Scottsdale AZ 85260-2717 Ph: (602) 610-6071 |
| NPI Number | 1568286748 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Medicare PECOS PAC ID | 2365970639 |
|---|---|
| Medicare Enrollment ID | O20250114003143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568286748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Beverly W Kube |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669623922 PECOS PAC ID: 5496050114 Enrollment ID: I20160217002620 |
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