Guidance Center Inc
Organization Active NPI Community/Behavioral Health Agency · Williams, AZ
NPI 1316014459 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1316014459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- OTC6139 (AZ)
- Legal business name
- GUIDANCE CENTER INC
- Practice address
- 220 W Grant Ave
Williams, AZ 86046-2535 - Phone
- (928) 635-4272
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Devon Forrest
- Title
- Ceo
- Phone
- (928) 527-1899
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 7
Practitioners 39
-
Nazila Adib, MD
-
Sarah Mancini Altenberg, D.O.
-
Stephanie Babbitt, PHD
-
Matthew Barkman, PMHNP
-
Naomi Brown, PMH NP
-
Esther Louise Dreher, PMHNP
-
Ernesto F Figueroa, M.D.
-
Emina Foci, NP
-
Nicole Elise Goodwin, FNP-BC
-
Walt Hutton III, NP
-
Courtney Mackin Keckich, M.D.
-
Laura Lahti, NP
-
Christopher Linskey, M.D.
-
Crystal McCarthy, PMHNP
-
Joan Marie Moore, PMHNP
-
Sean Patirick Mullen, PMHNP
-
Chiranjir Narine, M.D.
-
Deborah Jean Pardee, PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040624000797 | AZ | Part B Supplier - Clinic/Group Practice | 0143132076 |
Receives reassigned benefits from 36 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Flagstaff, AZ; Williams, AZ |
National Provider Directory
- Tax ID family
- Guidance Center Inc
Locations
420 N San Francisco St
Flagstaff, AZ 86001
Phone (928) 527-1899
2224 E Cedar Ave
Ste 1
Flagstaff, AZ 86004
Phone (928) 779-1679
220 W Grant Ave
Williams, AZ 86046
Phone (928) 527-1899
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | OTC6139 | AZ | Yes |
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
220 W Grant Ave
Williams, AZ 86046-2535
Mailing address
2187 N Vickey St
Flagstaff, AZ 86004-6121
Phone (928) 527-1899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTC6139 | Other | AZ | ADHS LICENSE |
| 116807 | Medicaid | AZ |
Other names
- The Guidance Center, Inc.
Other providers in Williams, AZ
- Nicole Fisher
- Michael Jeffrey Franklin
- Dana Serene Ger
- Gerald J Taitague MD PC
- Isabel Goel
- Brandon Anthony Hancz
- Ethan Jared Hansen
- Theresa Hawks
- Elizabeth Dawn Haws
- Mary Denise Heiss
All providers in Williams, AZ · Community/Behavioral Health Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.