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Organization
URBAN SOCIETY MENTAL HEALTH AND WELLNESS LLC
Active
Organization
URBAN SOCIETY MENTAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHEER LLEWELLYN GRAY II (CHIEF EXECUTIVE OFFICER)
(480) 334-3031
Entity
Organization
Contact information
Practice address
2087 E LIBRA PL, CHANDLER, AZ 85249-5205
(480) 334-3031
Mailing address
2087 E LIBRA PL, CHANDLER, AZ 85249-5205
(480) 334-3031
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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