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Organization

AHWATUKEE PSYCHOLOGY LLC

Active
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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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