Provider Demographics
NPI:1821563081
Name:ARIZONA CONSULTING AND COUNSELING SERVICES
Entity Type:Organization
Organization Name:ARIZONA CONSULTING AND COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:623-695-4214
Mailing Address - Street 1:8263 W THUNDERBIRD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4615
Mailing Address - Country:US
Mailing Address - Phone:623-776-7766
Mailing Address - Fax:623-776-7767
Practice Address - Street 1:8263 W THUNDERBIRD RD STE 100
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4615
Practice Address - Country:US
Practice Address - Phone:623-776-7766
Practice Address - Fax:623-776-7767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty