Organization
AHWATUKEE PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYSTI RAINWATER LPC (PSYCHOTHERAPIST)
(480) 223-8263
Entity
Organization
Contact information
Practice address
11011 S 48TH ST STE 106, PHOENIX, AZ 85044-1787
(480) 223-8263
(480) 247-5705
Mailing address
11011 S 48TH ST STE 106, PHOENIX, AZ 85044-1787
(480) 223-8263
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
01/21/2025
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