Provider Demographics
NPI:1770659823
Name:ARIZONA CENTER FOR COUNSELING & PSYCHOTHERAPY INC
Entity Type:Organization
Organization Name:ARIZONA CENTER FOR COUNSELING & PSYCHOTHERAPY INC
Other - Org Name:ZOE FOLTS MSW LCSW
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHO THERAPIST /PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ZOE
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:FOLTS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LCSW
Authorized Official - Phone:602-697-0453
Mailing Address - Street 1:PO BOX 6937
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85246-6937
Mailing Address - Country:US
Mailing Address - Phone:602-697-0453
Mailing Address - Fax:480-393-7054
Practice Address - Street 1:3450 W RAY RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-2300
Practice Address - Country:US
Practice Address - Phone:602-697-0453
Practice Address - Fax:480-393-7054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW 06131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ85136Medicare PIN