Provider Demographics
NPI:1770933285
Name:PSYCHOLOGICAL COUNSELING SERVICES, LTD.
Entity type:Organization
Organization Name:PSYCHOLOGICAL COUNSELING SERVICES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERE
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:H
Authorized Official - Last Name:EARLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-947-5739
Mailing Address - Street 1:7530 E ANGUS DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6410
Mailing Address - Country:US
Mailing Address - Phone:480-947-5739
Mailing Address - Fax:480-946-7795
Practice Address - Street 1:7530 E ANGUS DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6410
Practice Address - Country:US
Practice Address - Phone:480-947-5739
Practice Address - Fax:480-946-7795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC15530101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty