Organization
A SHEPHERDS PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOB ELLIOTT LPC, LISAC (OWNER)
(480) 233-5511
Entity
Organization
Contact information
Practice address
2122 E LANTANA DR, CHANDLER, AZ 85286-0291
(480) 233-5511
Mailing address
PO BOX 11533, CHANDLER, AZ 85248-0009
(280) 233-5511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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