Healthcare Provider Details

I. General information

NPI: 1366305112
Provider Name (Legal Business Name): SAGE COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5656 E GRANT RD STE 100
TUCSON AZ
85712-2200
US

IV. Provider business mailing address

1830 S ALMA SCHOOL RD STE 104
MESA AZ
85210-3086
US

V. Phone/Fax

Practice location:
  • Phone: 480-649-3352
  • Fax: 480-649-3358
Mailing address:
  • Phone: 480-649-3352
  • Fax: 480-649-3358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRANDY JUDSON
Title or Position: CHIEF CLINICAL OFFICER
Credential:
Phone: 503-516-2213