Provider Demographics
NPI:1215113683
Name:GALE WEST COUNSELING LLC
Entity type:Organization
Organization Name:GALE WEST COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GALE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:602-469-2255
Mailing Address - Street 1:2347 E ORANGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4730
Mailing Address - Country:US
Mailing Address - Phone:602-469-2255
Mailing Address - Fax:602-997-2358
Practice Address - Street 1:1121 E MISSOURI AVE
Practice Address - Street 2:SUITE 223
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2713
Practice Address - Country:US
Practice Address - Phone:602-469-2255
Practice Address - Fax:602-997-2358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ25721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty