Organization
MENDING HEARTS FAMILY SERVICES, INC.
Active
Organization
MENDING HEARTS FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON ANN CARL MA, M. ED., LPC (PRESIDENT/CEO)
(602) 633-2246
Entity
Organization
Contact information
Practice address
17431 N. 71ST DR., SUITE 103, GLENDALE, AZ 85308
(602) 633-2246
(602) 687-7069
Mailing address
17431 N. 71ST DR., SUITE 103, GLENDALE, AZ 85308
(602) 633-2246
(602) 687-7069
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC - 1003
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
649014
AHCCCS
AZ
01
—
LPC-1003
LICENSED PROFESSIONAL COUNSELOR
AZ
01
—
S1642
REGISTERED PLAY THERAPY SUPERVISOR
—
Enumeration date
03/23/2010
Last updated
05/21/2020
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