Join Our Network
When you partner with CONTACT, you join a strong network of licensed, credentialed providers who offer Managed Behavioral Health Care Services and Employee Assistance Programs to our members.
To apply to join our network, download and complete the CONTACT Potential Provider Information Form and mail or fax it along with a copy of your vita/resume, current license or certificate, and proof of current malpractice insurance (minimum 1 million/3 million) to:
CONTACT Provider Relations DepartmentPO Box 60965, Phoenix, AZ 85082-0965
Fax: 1-800-561-2361
CONTACT Potential Provider Information Form
