Provider Demographics
NPI:1396441853
Name:PASTORAL CARE ASSOCIATES
Entity type:Organization
Organization Name:PASTORAL CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PASTORAL CARE ASSOCIATES
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LESSARD
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV
Authorized Official - Phone:602-841-5505
Mailing Address - Street 1:2541 N ARIZONA AVE
Mailing Address - Street 2:SUITE # 6
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225
Mailing Address - Country:US
Mailing Address - Phone:602-841-5505
Mailing Address - Fax:
Practice Address - Street 1:2541 N ARIZONA AVE
Practice Address - Street 2:SUITE # 6
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225
Practice Address - Country:US
Practice Address - Phone:602-841-5505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty