Organization
CENTER FOR PROGRESSIVE THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYSTI RACHELLE RAINWATER MA, LPC (OWNER)
(480) 223-8263
Entity
Organization
Contact information
Practice address
11011 S 48TH ST STE 101, PHOENIX, AZ 85044-1787
(480) 223-8263
(480) 247-5705
Mailing address
11011 S 48TH ST STE 101, PHOENIX, AZ 85044-1787
(480) 223-8263
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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