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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