MEDICARE: SAGE COUNSELING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1366305112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGE COUNSELING, INC.

Provider Business Mailing Address
First Line	:	1830 S ALMA SCHOOL RD STE 104
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-3086
Country	:	US
Telephone Number	:	480-649-3352
Fax Number	:	480-649-3358

Provider Business Practice Location Address
First Line	:	5656 E GRANT RD STE 100
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2200
Country	:	US
Telephone Number	:	480-649-3352
Fax Number	:	480-649-3358

Authorized Official
Title or Position	:	CHIEF CLINICAL OFFICER
Name	:	BRANDY JUDSON
Credential	:
Telephone Number	:	503-516-2213

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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