Organization
AJ SOUTHWEST VENTURES INC
Active
Other names
reVIBE Mental Health, reVIBE Mental Health Tempe
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON FERNSTROM (OWNER)
(602) 502-3806
Entity
Organization
Contact information
Practice address
3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
(480) 674-9220
(480) 674-9231
Mailing address
3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
(480) 674-9220
(480) 674-9231
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
01/16/2025
Last updated
09/04/2025
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