Provider Demographics
NPI:1639775927
Name:CHOW COUNSELING FAMILY SERVICES
Entity Type:Organization
Organization Name:CHOW COUNSELING FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONN
Authorized Official - Middle Name:
Authorized Official - Last Name:HALE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:623-298-8643
Mailing Address - Street 1:PO BOX 1208
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-1208
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13048 W RANCHO SANTA FE BLVD
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-1705
Practice Address - Country:US
Practice Address - Phone:623-266-2469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:823230576
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty