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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