Organization
TBM MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MILLER (MBR)
(480) 521-6586
Entity
Organization
Contact information
Practice address
17431 N 71ST DR, SUITE 104, GLENDALE, AZ 85308-8598
(480) 521-6586
Mailing address
17431 N 71ST DR, SUITE 104, GLENDALE, AZ 85308-8598
(480) 521-6586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RN1348
AZ
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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