Organization
HEALED PHOENIX COUNSELING AND WELLNESS CENTER LLC
Active
Organization
HEALED PHOENIX COUNSELING AND WELLNESS CENTER LLC
Active
Other names
Healed Phoenix Womens Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BRYANT LPC (PROVIDER/OWNER)
(513) 252-6939
Entity
Organization
Contact information
Practice address
4225 W GLENDALE AVE STE A201, PHOENIX, AZ 85051-8194
(623) 258-1904
Mailing address
12317 W DENTON AVE, LITCHFIELD PARK, AZ 85340-3434
(623) 258-1904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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