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NPI Code Detail

MEDICARE: TALKING STICK BEHAVIORAL RESOURCES LLC

MEDICARE: TALKING STICK BEHAVIORAL RESOURCES LLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1386395705
Entity Type Code : Organization
Provider Name (Legal Business Name) : TALKING STICK BEHAVIORAL RESOURCES LLC
Provider Business Mailing Address
First Line : 3653 N 6TH AVE APT C10
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-3745
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3653 N 6TH AVE APT C10
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-3745
Country : US
Telephone Number : 775-470-2873
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CATHRINE CAZAR
Credential :
Telephone Number : 775-470-2873
Provider Enumeration Date : 01/18/2022
Last Update Date : 01/18/2022

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Directions to “TALKING STICK BEHAVIORAL RESOURCES LLC ” Practice Location

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