# ACTIVE COPING TREATMENTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134672181
- **Authorized official:** MAXINE MANDELL (OWNER/LMFT)
- **Authorized official phone:** (480) 641-3067

## Contact information

- **Practice address:** 3130 E CABALLERO ST, MESA, AZ 85213-7902
- **Practice address phone:** (480) 641-3067
- **Mailing address:** PO BOX 31803, MESA, AZ 85275-1803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2016
- **Last updated:** 07/26/2016