Organization
SUNTELEO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY LIVINGSTON LCSW (SOLE MEMBER)
(928) 301-2640
Entity
Organization
Contact information
Practice address
723 COVE PKWY STE C, COTTONWOOD, AZ 86326-4685
(928) 301-2640
Mailing address
PO BOX 545, CORNVILLE, AZ 86325-0545
(928) 301-2640
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-12681
AZ
Other
Enumeration date
01/26/2018
Last updated
04/24/2018
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