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Miranda Mccoy
Child Mental Illness Respite Care in Phoenix, Arizona
NPI 1487722369

Miranda Mccoy is a Child Mental Illness Respite Care based in Phoenix, AZ and is specialized in Respite Care, Mental Illness, Child. Miranda Mccoy practices in Phoenix, AZ. The NPI Number for Miranda Mccoy is 1487722369 and holds a License No. 11361 (Arizona).

The current practice location address for Miranda Mccoy is 5205 W Fulton St, Phoenix, AZ and can be reached out via phone at 623-204-8901.

Location: 5205 W Fulton St, Phoenix, AZ, 85043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487722369
Provider Name
Miranda Mccoy
Credential
Provider Entity Type
Individual
Gender
Female
Address
5205 W Fulton St, Phoenix, AZ, 85043
Phone Number
623-204-8901
Fax Number
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
115882 01 AZ AHCCCS ID
institution
Provider Business Practice Location Address Details
Address
5205 W Fulton St
City
Phoenix
State
Arizona
Zip
85043-2000
Phone Number
623-204-8901
Fax Number
person
Provider Business Mailing Address Details
Address
5205 W Fulton St
City
Phoenix
State
Arizona
Zip
85043-2000
Phone Number
623-204-8901
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
11361 (Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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