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Organization
MESA FAMILY THERAPY LLC
Active
Organization
MESA FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY BROWN LMFT (OWNER/CLINICAL SUPERVISOR)
(480) 256-2907
Entity
Organization
Contact information
Practice address
1355 N GREENFIELD RD, MESA, AZ 85205-4073
(480) 256-2907
Mailing address
5734 E BUTTE ST, MESA, AZ 85205-5886
(480) 248-5127
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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