Provider Demographics
NPI:1164765350
Name:DESERT COUNSELING & RECOVERY SERVICES
Entity Type:Organization
Organization Name:DESERT COUNSELING & RECOVERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANAYA
Authorized Official - Last Name:MCKIVERGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:928-373-8041
Mailing Address - Street 1:3970 W 24TH ST STE 206
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-9255
Mailing Address - Country:US
Mailing Address - Phone:928-373-8041
Mailing Address - Fax:928-259-2501
Practice Address - Street 1:3970 W 24TH ST STE 206
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-9255
Practice Address - Country:US
Practice Address - Phone:928-373-8041
Practice Address - Fax:928-259-2501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-05
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health