# SEMPER FIDELIS BEHAVIORAL HEALTH & COUNSELING, LLC

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

## Provider details

- **NPI number:** 1881214195
- **Authorized official:** NASSON NATHAN ADMINISTRATOR (CEO)
- **Authorized official phone:** (480) 430-5491

## Contact information

- **Practice address:** 3606 E BASELINE RD UNIT 288, PHOENIX, AZ 85042-9617
- **Practice address phone:** (480) 430-5491
- **Mailing address:** 3606 E BASELINE RD UNIT 288, PHOENIX, AZ 85042-9617
- **Mailing address phone:** (860) 308-3823

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2020
- **Last updated:** 04/16/2020