Organization
BODHI COLLECTIVE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANISSA MAY FOX LPC (OWNER)
(480) 528-2069
Entity
Organization
Contact information
Practice address
4535 S LAKESHORE DR STE 6, TEMPE, AZ 85282-7046
(480) 528-2069
Mailing address
4535 S LAKESHORE DR STE 6, TEMPE, AZ 85282-7046
(480) 528-2069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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