Organization
MY PHOENIX THERAPIST, LLC
Active
Organization
MY PHOENIX THERAPIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY SULLIVAN (OWNER)
(602) 492-1886
Entity
Organization
Contact information
Practice address
34406 N 27TH DR, PHOENIX, AZ 85085-6082
(602) 492-1886
Mailing address
3006 W LANGUID LN, PHOENIX, AZ 85086-4209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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