Organization
PROFESSIONAL BEHAVIORAL HEALTH SERVICES OF ST. MICHAELS
Active
Other names
Professional Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY JIM LPCC (OWNER)
(928) 871-5409
Entity
Organization
Contact information
Practice address
LOT 165 BLANCO RD, SAINT MICHAELS, AZ 86511-0645
(928) 871-5409
Mailing address
LOT 165 BLANCO ROAD, KARIGAN ESTATES, SAINT MICHAELS, AZ 86511-0645
(928) 871-5409
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0146941
NM
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up