| R. Smyly Addiction Clinical Services Llc | |
|
819 W Gurley St Unit C Prescott AZ 86305-3626 | |
| (928) 671-1443 | |
| Not Available |
| Full Name | R. Smyly Addiction Clinical Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 819 W Gurley St Unit C, Prescott, Arizona |
| Authorized Official Name and Position | Matt Luchini (ACCOUNT MANAGER) |
| Authorized Official Contact | 9285334220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Smyly Addiction Clinical Services Llc 819 W Gurley St Unit C Prescott AZ 86305-3626 Ph: () - | R. Smyly Addiction Clinical Services Llc 819 W Gurley St Unit C Prescott AZ 86305-3626 Ph: (928) 671-1443 |
| NPI Number | 1134543481 |
|---|---|
| Provider Enumeration Date | 02/06/2014 |
| Last Update Date | 02/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134543481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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