Little Colorado Behavioral Health Center Inc. in Saint Johns - Counselor
Little Colorado Behavioral Health Center Inc. - NPI 1134292485
Little Colorado Behavioral Health Center Inc. is a Counselor in Saint Johns, Arizona. Little Colorado Behavioral Health Center Inc. practices all healthcare services and medical treatments related to Counselor. The NPI Number for Little Colorado Behavioral Health Center Inc. is 1134292485. The last update date is 2012-12-05.
Little Colorado Behavioral Health Center Inc.'s current location address is Po Box 579, Saint Johns, Arizona. You can contact this provider via phone number 9283374301 and fax number 9283372269. The mailing address for Little Colorado Behavioral Health Center Inc. is Po Box 579, Saint Johns, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Little Colorado Behavioral Health Center Inc. |
|---|---|
| Address | Po Box 579, Saint Johns, Arizona |
| Phone Number | 9283374301 |
| Fax Number | 9283372269 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Poche Scott Rodney |
| Credentials | LMFT |
| Telephone Number | 9283332683 |
NPI Number Detail
| NPI Number | 1134292485 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2012-12-05 |
Provider Mailing Address Detail
| Address | Po Box 579 |
|---|---|
| City | Saint Johns |
| State | Arizona (AZ) |
| Post Code | 859360579 |
| Phone Number | 9283374301 |
| Fax Number | 9283372269 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | LCSW-2810 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 919053 | AZ | -- | |
| 919087 | AZ | -- | |
| 869381 | AZ | -- | |
| 821258 | AZ | -- | |
| 739138 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Little Colorado Behavioral Health Center Inc. by the Centers for Medicare & Medicaid Services?
The Little Colorado Behavioral Health Center Inc. has been assigned the NPI (National Provider Identifier) 1134292485 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Little Colorado Behavioral Health Center Inc.?
The Little Colorado Behavioral Health Center Inc. is situated at Po Box 579, in the city of Saint Johns, state of AZ, with the zip code 859360579.
What is Little Colorado Behavioral Health Center Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Little Colorado Behavioral Health Center Inc. is Counselor, and the corresponding taxonomy classification code for this specialized field is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134292485 to Little Colorado Behavioral Health Center Inc.?
The Centers for Medicare & Medicaid Services assigned the 1134292485 to Little Colorado Behavioral Health Center Inc. on 2006-11-16.
As of what date were the Little Colorado Behavioral Health Center Inc.'s details last updated?
The information pertaining to the Little Colorado Behavioral Health Center Inc., including its address, specialty, and other details, was most recently updated on 2012-12-05.