Organization
SUPERSTITION SPRINGS COUNSELING SERVICES OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY MICHAELLE HENNESSEY-PEIRCE LCSW (PRIVATE PRACTITIONER)
(602) 617-6595
Entity
Organization
Contact information
Practice address
7254 E SOUTHERN AVE, SUITE 123, MESA, AZ 85209-2786
(602) 617-6595
(480) 324-0747
Mailing address
7254 E SOUTHERN AVE, SUITE 123, MESA, AZ 85209-2786
(602) 617-6595
(480) 324-0747
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LCSW-10373
AZ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LCSW-10373
AZ
Other
Enumeration date
07/15/2010
Last updated
11/18/2010
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