# GILGAL PHOENIX WELLNESS CENTER

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

## Provider details

- **NPI number:** 1801589007
- **Authorized official:** CHRISTINE REBECCA TUSIIME (CEO)
- **Authorized official phone:** (602) 489-6300

## Contact information

- **Practice address:** 4040 E MCDOWELL RD STE 308, PHOENIX, AZ 85008-4447
- **Practice address phone:** (602) 489-6300
- **Mailing address:** 8025 S 47TH LN, LAVEEN, AZ 85339-2393
- **Mailing address phone:** (602) 489-6300

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2023
- **Last updated:** 06/01/2023