# SCOTTSDALE PSYCHOTHERAPY INC

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

## Provider details

- **NPI number:** 1659421071
- **Authorized official:** VIRGINIA KELLEY LCSW (PRESIDENT)
- **Authorized official phone:** (480) 429-6390

## Contact information

- **Practice address:** 4300 N MILLER RD, STE 218, SCOTTSDALE, AZ 85251-3619
- **Practice address phone:** (480) 429-6390
- **Mailing address:** 4300 N MILLER RD, STE 218, SCOTTSDALE, AZ 85251-3619
- **Mailing address phone:** (480) 429-6390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LCSW-3594 | AZ | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 01/10/2008
