| Telespera Counseling | |
|
4539 N 22nd St Ste R Phoenix AZ 85016-4639 | |
| (520) 391-6188 | |
| Not Available |
| Full Name | Telespera Counseling |
|---|---|
| Speciality | Counselor |
| Location | 4539 N 22nd St Ste R, Phoenix, Arizona |
| Authorized Official Name and Position | Tammy L Rome (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5203916188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telespera Counseling 4539 N 22nd St Ste R Phoenix AZ 85016-4639 Ph: (520) 841-5482 | Telespera Counseling 4539 N 22nd St Ste R Phoenix AZ 85016-4639 Ph: (520) 391-6188 |
| NPI Number | 1295517852 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 01/14/2026 |
| Certification Date | 01/14/2026 |
| Medicare PECOS PAC ID | 1557713534 |
|---|---|
| Medicare Enrollment ID | O20240115001831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295517852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tammy L Rome |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467782680 PECOS PAC ID: 6305216326 Enrollment ID: I20240115001841 |
| Provider Name | Mary Burrows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578706206 PECOS PAC ID: 9032649017 Enrollment ID: I20250205003226 |
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