# MESA FAMILY THERAPY LLC

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

## Provider details

- **NPI number:** 1982427993
- **Authorized official:** COURTNEY BROWN LMFT (OWNER/CLINICAL SUPERVISOR)
- **Authorized official phone:** (480) 256-2907

## Contact information

- **Practice address:** 1355 N GREENFIELD RD, MESA, AZ 85205-4073
- **Practice address phone:** (480) 256-2907
- **Mailing address:** 5734 E BUTTE ST, MESA, AZ 85205-5886
- **Mailing address phone:** (480) 248-5127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/07/2024
- **Last updated:** 11/07/2024