Organization
LOYALTY HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON GEORGE NP (CLINICAL OVERSITE)
(316) 209-7731
Entity
Organization
Contact information
Practice address
1626 N 7TH ST, PHOENIX, AZ 85006-2203
(480) 382-6196
Mailing address
1626 N 7TH ST, PHOENIX, AZ 85006-2203
(480) 382-6196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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