Healthcare Provider Details

I. General information

NPI: 1649549031
Provider Name (Legal Business Name): ACT ADDICTIONS COUNSELING TREATMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2011
Last Update Date: 03/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 E SHEA BLVD STE D202
SCOTTSDALE AZ
85254-4570
US

IV. Provider business mailing address

5010 E SHEA BLVD STE D202
SCOTTSDALE AZ
85254-4570
US

V. Phone/Fax

Practice location:
  • Phone: 602-569-4328
  • Fax:
Mailing address:
  • Phone: 602-569-4328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 9
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberOTC 6793
License Number StateAZ

VIII. Authorized Official

Name: MRS. BOBBE MCGINLEY
Title or Position: CLINICAL DIRECTOR/CEO/OWNER
Credential: MA, MBA,LISAC, CADAC
Phone: 602-569-4328