# PEAK BRAIN CLINIC

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

## Provider details

- **NPI number:** 1871276774
- **Authorized official:** MARYAM GOUDARZI LMFT (CEO)
- **Authorized official phone:** (310) 853-2939

## Contact information

- **Practice address:** 4111 E VALLEY AUTO DRIVE, SUITE 101, RM9, MESA, AZ 85206
- **Practice address phone:** (480) 788-7254
- **Mailing address:** 4111 E VALLEY AUTO DRIVE, SUITE 101, RM9, MESA, AZ 85206
- **Mailing address phone:** (480) 788-7254

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2023
- **Last updated:** 08/08/2023