| Women On The Move, Llc | |
|
143 N Mccormick St Suite 103 Prescott AZ 86301-2723 | |
| (801) 376-6298 | |
| (186) 643-1878 |
| Full Name | Women On The Move, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 143 N Mccormick St, Prescott, Arizona |
| Authorized Official Name and Position | Tracy Rae Schrunk (MANAGER) |
| Authorized Official Contact | 8013766298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Women On The Move, Llc 333 W Leroux St Unit H8 Prescott AZ 86303-4265 Ph: (801) 376-6298 | Women On The Move, Llc 143 N Mccormick St Suite 103 Prescott AZ 86301-2723 Ph: (801) 376-6298 |
| NPI Number | 1679025936 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 03/13/2017 |
| Medicare PECOS PAC ID | 9032486303 |
|---|---|
| Medicare Enrollment ID | O20170517002303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679025936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW-16391 (Arizona) | Primary |
| Provider Name | Tracy Schrunk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194277202 PECOS PAC ID: 4183991441 Enrollment ID: I20170517001998 |
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