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Organization
AJ SOUTHWEST VENTURES INC
Active
Organization
AJ SOUTHWEST VENTURES INC
Active
Other names
reVIBE Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON FERNSTROM MSW (OWNER)
(602) 502-3806
Entity
Organization
Contact information
Practice address
3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
(480) 674-9220
(674) 480-9231
Mailing address
3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
(480) 674-9220
(674) 480-9231
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
12/08/2022
Last updated
02/18/2025
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