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NPI Code Detail

MEDICARE: SAGE COUNSELING, INC.

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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1891294021
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 : 15650 N BLACK CANYON HWY STE B121
Second Line :
City : PHOENIX
State : AZ
Zip : 85053-4064
Country : US
Telephone Number : 480-649-3352
Fax Number : 480-649-3358
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. TRAVIS MOORE
Credential : CFO
Telephone Number : 623-640-6314
Provider Enumeration Date : 02/02/2018
Last Update Date : 06/11/2026

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Directions to “SAGE COUNSELING, INC. ” Practice Location

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