Organization
SPA THERAPY
Active
Organization
SPA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMILA ZAKIYA JOHNSON MA, LPC, NCC (CLINICAL DIRECTOR)
(602) 268-0426
Entity
Organization
Contact information
Practice address
1835 E NANCY LN, PHOENIX, AZ 85042-4530
(602) 268-0426
(602) 268-0909
Mailing address
1835 E NANCY LN, PHOENIX, AZ 85042-4530
(602) 268-0426
(602) 268-0909
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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