Beyond The Pines | |
4085 S Holland Rd Flagstaff AZ 86005-8924 | |
(928) 221-8212 | |
Not Available |
Full Name | Beyond The Pines |
---|---|
Speciality | Psychologist - Counseling |
Location | 4085 S Holland Rd, Flagstaff, Arizona |
Authorized Official Name and Position | Daniel Phillips (PSYCHOLOGIST, MANAGING PARTNER) |
Authorized Official Contact | 9282218212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beyond The Pines 606 N Beaver St Flagstaff AZ 86001-3012 Ph: () - | Beyond The Pines 4085 S Holland Rd Flagstaff AZ 86005-8924 Ph: (928) 221-8212 |
NPI Number | 1194312603 |
---|---|
Provider Enumeration Date | 12/30/2020 |
Last Update Date | 02/08/2021 |
Certification Date | 02/08/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194312603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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› Verified 4 days ago
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