# THERAPEUTIC EDGE LLC

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

## Provider details

- **NPI number:** 1558041632
- **Authorized official:** DESTINI MAYFIELD PMHNP-BC (OWNER)
- **Authorized official phone:** (602) 399-9079

## Contact information

- **Practice address:** 501 E PLAZA CIR DR STE 8, LITCHFIELD PARK, AZ 85340-4909
- **Practice address phone:** (623) 552-8895
- **Mailing address:** 501 E PLAZA CIR DR STE 8, LITCHFIELD PARK, AZ 85340-4909
- **Mailing address phone:** (602) 399-9079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2023
- **Last updated:** 06/11/2026
