# WOMEN'S HEALTH INNOVATIONS OF ARIZONA

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

## Provider details

- **NPI number:** 1629560941
- **Authorized official:** MICHELLE LACY LPC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (480) 339-7119

## Contact information

- **Practice address:** 1355 S HIGLEY RD STE 113, GILBERT, AZ 85296-4789
- **Practice address phone:** (480) 339-7119
- **Practice address fax:** (480) 855-7991
- **Mailing address:** 1355 S HIGLEY RD STE 113, GILBERT, AZ 85296-4789
- **Mailing address phone:** (480) 339-7119
- **Mailing address fax:** (480) 855-7991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | MED7600 | NULL | — |

## Other

- **Enumeration date:** 06/01/2018
- **Last updated:** 07/12/2024