Basic Information
| Provider Information | |||||||||
| NPI: | 1861721276 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BACH-STARLING | ||||||||
| FirstName: | ANNE MARIE | ||||||||
| MiddleName: | CLARE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MA.ED., LAC, NCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1424 E KERRY LN | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850248222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6232024480 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1110 E MCDOWELL RD | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850062611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6026851940 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2009 | ||||||||
| LastUpdateDate: | 12/14/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | LAC-13216 | AZ | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.