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Organization
THARP ENTERPRISES, L.L.C.
Active
Organization
THARP ENTERPRISES, L.L.C.
Active
Other names
Prodigy Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
ADMINISTRATIVE CONTACT (ADMINISTRATIVE SUPPORT SERVICES)
(480) 949-8871
Entity
Organization
Contact information
Practice address
460 N MESA DR STE 101, MESA, AZ 85201-5949
(480) 949-8871
Mailing address
460 N MESA DR STE 101, MESA, AZ 85201-5949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
09/08/2026
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