# FAMILY TIES COUNSELING AND COACHING LLC

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

## Provider details

- **NPI number:** 1295305175
- **Authorized official:** MRS. HEATHER MARIE FORD LPC (OWNER/CLINICIAN)
- **Authorized official phone:** (602) 730-4105

## Contact information

- **Practice address:** 3420 E SHEA BLVD, PHOENIX, AZ 85028-3345
- **Practice address phone:** (602) 730-4105
- **Mailing address:** 3420 E SHEA BLVD, PHOENIX, AZ 85028-3345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2021
- **Last updated:** 07/01/2021