Organization
DESERT MAGNOLIA THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVETTE MEI LCSW (PRESIDENT)
(602) 284-4421
Entity
Organization
Contact information
Practice address
16165 N 83RD AVE, 200, PEORIA, AZ 85382-4227
(602) 284-4421
Mailing address
16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518334366
NPI
AZ
Enumeration date
09/11/2023
Last updated
12/09/2024
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