Organization
MESA VERDE COUNSELING INC
Active
Parent organization
MESA VERDE COUNSELING INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MESA VERDE COUNSELING INC
Authorized official
ASA RHINEHART (CFO)
(520) 442-0978
Entity
Organization
Contact information
Practice address
2585 E WILCOX DR STE A, SIERRA VISTA, AZ 85635-2822
(520) 442-2812
(520) 378-5187
Mailing address
PO BOX 1300, HEREFORD, AZ 85615-1300
(520) 442-2812
(520) 378-5187
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132588
—
AZ
05
—
205385
—
AZ
05
—
584215
—
AZ
Enumeration date
06/02/2025
Last updated
06/02/2025
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