# A SHEPHERDS PLACE INC

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

## Provider details

- **NPI number:** 1356185649
- **Authorized official:** JOB ELLIOTT LPC, LISAC (OWNER)
- **Authorized official phone:** (480) 233-5511

## Contact information

- **Practice address:** 2122 E LANTANA DR, CHANDLER, AZ 85286-0291
- **Practice address phone:** (480) 233-5511
- **Mailing address:** PO BOX 11533, CHANDLER, AZ 85248-0009
- **Mailing address phone:** (280) 233-5511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2024
- **Last updated:** 06/21/2024