Provider Demographics
NPI:1235514175
Name:VALLEY COUNSELING AND PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:VALLEY COUNSELING AND PSYCHOLOGICAL SERVICES
Other - Org Name:MCS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-424-1100
Mailing Address - Street 1:PO BOX 172
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139-0049
Mailing Address - Country:US
Mailing Address - Phone:520-424-1100
Mailing Address - Fax:520-413-5787
Practice Address - Street 1:609 W COTTONWOOD LN
Practice Address - Street 2:SUITE 1
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-2247
Practice Address - Country:US
Practice Address - Phone:520-424-1100
Practice Address - Fax:520-413-5787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA88512355S0801X
AZSLP6880235Z00000X
AZ3917103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty