Organization
SPECTRUM HEALTHCARE GROUP, INC.
Active
Parent organization
SPECTRUM HEALTHCARE GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTHCARE GROUP, INC.
Authorized official
CORINNE BAILEY (CREDENTIALING SPECIALIST)
(877) 634-7333
Entity
Organization
Contact information
Practice address
3274 BOB DR, PRESCOTT VALLEY, AZ 86314-8640
(877) 634-7333
(866) 984-3891
Mailing address
8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-4382
(778) 634-7333
(866) 984-3891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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