Organization
HEALTH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEASE DAUGHERTY (OWNER)
(630) 399-1885
Entity
Organization
Contact information
Practice address
18814 N 39TH ST, PHOENIX, AZ 85050-6339
(630) 399-1885
Mailing address
18814 N 39TH ST, PHOENIX, AZ 85050-6339
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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