Organization
THE ACT OF HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN J DE JESUS (OWNER)
(480) 375-1317
Entity
Organization
Contact information
Practice address
1166 E WARNER RD, SUITE 101T, GILBERT, AZ 85296-3064
(480) 375-1317
Mailing address
1166 E WARNER RD, SUITE 101T, GILBERT, AZ 85296-3064
(480) 375-1317
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16081
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649695164
INDIVIDUAL NPI NUMBER
AZ
Enumeration date
05/13/2016
Last updated
05/13/2016
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