Organization
FOUNDATION FOR HEALING, LLC
Active
Organization
FOUNDATION FOR HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH M. JOHANSEN MS, LPC, NCC (CLINICAL DIRECTOR)
(480) 608-5250
Entity
Organization
Contact information
Practice address
4111 E VALLEY AUTO DR STE 201, MESA, AZ 85206-4609
(480) 608-5250
(480) 608-5251
Mailing address
4111 E VALLEY AUTO DR STE 201, MESA, AZ 85206-4609
(480) 608-5250
(480) 608-5251
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
LPC-14026
AZ
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417409483
NPI
AZ
05
—
273868
—
AZ
Enumeration date
05/07/2018
Last updated
11/10/2025
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