Organization
BEYOND THE PINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PHILLIPS L.P. (PSYCHOLOGIST, MANAGING PARTNER)
(928) 221-8212
Entity
Organization
Contact information
Practice address
4085 S HOLLAND RD, FLAGSTAFF, AZ 86005-8924
(928) 221-8212
Mailing address
606 N BEAVER ST, FLAGSTAFF, AZ 86001-3012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
02/08/2021
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