Organization
SUPREME COUNSEL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSE-TIMOTHY LAMONT COATES MS (OWNER- CLINICAL DIRECTOR)
(602) 693-2826
Entity
Organization
Contact information
Practice address
20 E THOMAS RD STE 2200, PHOENIX, AZ 85012-3133
(602) 693-2826
Mailing address
20 E THOMAS RD STE 2200, PHOENIX, AZ 85012-3133
(602) 693-2826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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