institution
Supportive Community Services Llc
Mental Health Counselor in Phoenix, Arizona
NPI 1770123614

Supportive Community Services Llc is a Mental Health Counselor based in Las Vegas, AZ and is specialized in Mental Health. Supportive Community Services Llc practices in Phoenix, AZ. The NPI Number for Supportive Community Services Llc is 1770123614 and holds a License No. (Arizona).

The current practice location address for Supportive Community Services Llc is 2432 W Peoria Ave, Phoenix, AZ and can be reached out via phone at 702-526-4573 and via fax at 702-202-1180.

Location: 2432 W Peoria Ave, Phoenix, AZ, 89129-6355
institution
Provider Profile Details
NPI Number
1770123614
Provider Name
Supportive Community Services Llc
Credential
Provider Entity Type
Organization
Address
2432 W Peoria Ave, Phoenix, AZ, 89129-6355
Phone Number
702-526-4573
Fax Number
702-202-1180
Provider Enumeration Date
01/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720451672 05 NV
institution
Provider Business Practice Location Address Details
Address
2432 W Peoria Ave
City
State
Zip
85029-4726
Phone Number
702-526-4573
Fax Number
702-202-1180
person
Provider Business Mailing Address Details
Address
2432 W Peoria Ave
City
State
Zip
85029-4726
Phone Number
702-526-4573
Fax Number
702-202-1180
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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