Organization
MOUNTAIN SPRINGS COUNSELING P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA STARKEL (CEO/OWNER)
(928) 892-2689
Entity
Organization
Contact information
Practice address
580 E OLD LINDEN RD STE 6, SHOW LOW, AZ 85901-4817
(928) 892-2689
Mailing address
PO BOX 3490, SHOW LOW, AZ 85902-3490
(928) 892-2689
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-13889
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863988
—
AZ
Enumeration date
04/11/2016
Last updated
04/11/2016
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