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	:	1114501921
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	:

Provider Business Practice Location Address
First Line	:	10413 NORTH SCOTTSDALE RD.
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85253-5974
Country	:	US
Telephone Number	:	480-649-3352
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	TRAVIS MOORE
Credential	:	CFO
Telephone Number	:	480-649-3352

Provider Enumeration Date	:	05/07/2021
Last Update Date	:	06/12/2026

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Directions to “SAGE COUNSELING, INC. ” Practice Location

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