# SHADETREE WELLNESS CENTER OF ARIZONA LLC

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

## Provider details

- **NPI number:** 1811504004
- **Authorized official:** ARIANNA GRIFFITH (DIRECTOR OF OPREATIONS)
- **Authorized official phone:** (909) 373-6305

## Contact information

- **Practice address:** 2737 W BASELINE RD STE 21, TEMPE, AZ 85283-1051
- **Practice address phone:** (909) 373-6305
- **Mailing address:** 8768 W GARDENIA AVE, GLENDALE, AZ 85305-6965
- **Mailing address phone:** (909) 373-6305

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2020
- **Last updated:** 09/30/2020