IndividualActive
Bethel Mccoy, LISAC
NPI 1194289124 · Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
Provider details
- NPI number
- 1194289124
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LISAC
- Sex
- Female
- Sole proprietor
- No
- License
- LISAC-15083 (AZ)
Practice location
4909 E Mcdowell Rd
Phoenix, AZ 85008-4227
Phone: (602) 685-6000
Fax: (602) 275-1355
Mailing address
3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Registry dates
- Enumerated
- 2019-01-23
- Last updated
- 2022-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.