Organization
ACTIVE COPING TREATMENTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE MANDELL (OWNER/LMFT)
(480) 641-3067
Entity
Organization
Contact information
Practice address
3130 E CABALLERO ST, MESA, AZ 85213-7902
(480) 641-3067
Mailing address
PO BOX 31803, MESA, AZ 85275-1803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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