# FULLER THEOLOGICAL SEMINARY

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

## Provider details

- **NPI number:** 1831979087
- **Authorized official:** RACHEL LINGLE MFT (CLINIC DIRECTOR)
- **Authorized official phone:** (602) 613-1774

## Contact information

- **Practice address:** 1110 E MISSOURI AVE STE 850, PHOENIX, AZ 85014-2733
- **Practice address phone:** (602) 613-1725
- **Mailing address:** 1110 E MISSOURI AVE STE 850, PHOENIX, AZ 85014-2733
- **Mailing address phone:** (602) 613-1725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TH0100X | Health Service Psychologist | — | — | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2023
- **Last updated:** 02/17/2026