Organization
FAMILY TIES COUNSELING AND COACHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER MARIE FORD LPC (OWNER/CLINICIAN)
(602) 730-4105
Entity
Organization
Contact information
Practice address
3420 E SHEA BLVD, PHOENIX, AZ 85028-3345
(602) 730-4105
Mailing address
3420 E SHEA BLVD, PHOENIX, AZ 85028-3345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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