| Organization Name: | W6 RANCH COUNSELING SERVICES, L.L.C. |
| NPI Number: | 1467878975 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNDA SMITH WILLIAMS (CHIEF ADMINISTRATIVE OFFICER) |
| Mailing Address: | 810 N Sunshine Blvd Casa Grande |
| State: | AZ US |
| Postal Code: | 851946954 |
| Phone Number: | 5205609705 |
| Fax Number: | 5207233435 |
| NPI Enumeration Date: | 03/07/2014 |
| NPI Last Update Date: | 03/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | OTC6251 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |