# HEALED PHOENIX COUNSELING AND WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1598475881
- **Authorized official:** TIFFANY BRYANT LPC (OWNER)
- **Authorized official phone:** (513) 252-6939

## Contact information

- **Practice address:** 12317 W DENTON AVE, LITCHFIELD PARK, AZ 85340-3434
- **Practice address phone:** (513) 252-6939
- **Mailing address:** PO BOX 1671, LITCHFIELD PARK, AZ 85340-1671
- **Mailing address phone:** (513) 252-6939

## Taxonomy

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

## Other

- **Enumeration date:** 11/29/2022
- **Last updated:** 05/23/2024