MEDICARE: AZ HEALTH PATH, 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	101YP2500X	Professional Counselor	LPC10276	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	7108598	OTHER	AZ	MEDICARE UPIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	135692471	OTHER	AZ	INDIVIDUAL NPI FOR DR. RACHEL RHODES
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1033670302	OTHER	AZ	INDIVIDUAL NPI FOR ERIK EIDENSCHINK
6	1851484836	OTHER	AZ	INDIVIDUAL NPI FOR MADISON RHODES

General Provider Information

NPI Number	:	1578965059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZ HEALTH PATH, INC

Provider Business Mailing Address
First Line	:	8111 E THOMAS RD STE 120
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-5876
Country	:	US
Telephone Number	:	480-735-9090
Fax Number	:	480-584-4885

Provider Business Practice Location Address
First Line	:	8111 E THOMAS RD STE 120
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-5876
Country	:	US
Telephone Number	:	480-735-9090
Fax Number	:	480-584-4885

Authorized Official
Title or Position	:	CO-OWNER
Name	:	RACHEL A RHODES
Credential	:	ND
Telephone Number	:	480-735-9090

Provider Enumeration Date	:	09/16/2014
Last Update Date	:	02/10/2020

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Directions to “AZ HEALTH PATH, INC ” Practice Location

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