| Tribe Wellness Group Pllc | |
|
549 S Main St Cottonwood AZ 86326-3902 | |
| (928) 202-9187 | |
| (928) 202-4666 |
| Full Name | Tribe Wellness Group Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 549 S Main St, Cottonwood, Arizona |
| Authorized Official Name and Position | Kelly Weathersby (OFFICE MANAGER) |
| Authorized Official Contact | 9282029187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tribe Wellness Group Pllc 549 S Main St Cottonwood AZ 86326-3902 Ph: (928) 202-9187 | Tribe Wellness Group Pllc 549 S Main St Cottonwood AZ 86326-3902 Ph: (928) 202-9187 |
| NPI Number | 1073004339 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 03/05/2025 |
| Certification Date | 03/05/2025 |
| Medicare PECOS PAC ID | 0244589174 |
|---|---|
| Medicare Enrollment ID | O20180824002709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073004339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mary Alaynick Watson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972577021 PECOS PAC ID: 7719079672 Enrollment ID: I20160808000686 |
| Provider Name | Tina Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073579306 PECOS PAC ID: 9931193695 Enrollment ID: I20191231001660 |
| Provider Name | Zelko Leon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720005499 PECOS PAC ID: 6709771900 Enrollment ID: I20220113001621 |
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