# AJ SOUTHWEST VENTURES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** reVIBE Mental Health, reVIBE Mental Health Tempe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164233417
- **Authorized official:** ALLYSON FERNSTROM (OWNER)
- **Authorized official phone:** (602) 502-3806

## Contact information

- **Practice address:** 3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
- **Practice address phone:** (480) 674-9220
- **Practice address fax:** (480) 674-9231
- **Mailing address:** 3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
- **Mailing address phone:** (480) 674-9220
- **Mailing address fax:** (480) 674-9231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 01/16/2025
- **Last updated:** 09/04/2025