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Organization

ARIZONA BEHAVIORAL HEALTH CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAKSHMI R NOLLETTI LCSW, LISAC (CLINICAL DIRECTOR/OWNER)
(602) 343-8232
Entity
Organization

Contact information

Practice address
2600 N 44TH ST, SUITE B104, PHOENIX, AZ 85008-1521
(602) 343-8232
(602) 343-8233
Mailing address
2600 N 44TH ST, SUITE B104, PHOENIX, AZ 85008-1521
(602) 343-8232
(602) 343-8233

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
04/02/2009
Last updated
03/28/2017
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