# TRYAD COUNSELING AND HEALING CENTER LLC

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

## Provider details

- **NPI number:** 1629511712
- **Authorized official:** MS. SANDRINE A AEGERTER M.S, LMHC, LPC (SOLE PROPRIETOR, MANAGER)
- **Authorized official phone:** (617) 935-2245

## Contact information

- **Practice address:** 15804 E BRITTLEBUSH LN, FOUNTAIN HILLS, AZ 85268-3183
- **Practice address phone:** (617) 935-2245
- **Practice address fax:** (617) 546-1333
- **Mailing address:** 15804 E BRITTLEBUSH LN, FOUNTAIN HILLS, AZ 85268-3183
- **Mailing address phone:** (617) 935-2245
- **Mailing address fax:** (617) 546-1333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 9883 | MA | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 08/26/2024
