Provider Demographics
NPI:1801640040
Name:MOUNTAIN VIEW COUNSELING
Entity type:Organization
Organization Name:MOUNTAIN VIEW COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LAPC
Authorized Official - Phone:928-322-3889
Mailing Address - Street 1:1775 W RELATION ST
Mailing Address - Street 2:
Mailing Address - City:SAFFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85546-3440
Mailing Address - Country:US
Mailing Address - Phone:928-424-3889
Mailing Address - Fax:
Practice Address - Street 1:1775 W RELATION ST
Practice Address - Street 2:
Practice Address - City:SAFFORD
Practice Address - State:AZ
Practice Address - Zip Code:85546-3440
Practice Address - Country:US
Practice Address - Phone:928-424-3889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOUNTAIN VIEW ACADEMY SAFFORD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)