Organization
MORT MORI
Active
Other names
Phoenix Horizon Wellness Center, Mort Mori, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE A. MORT LPC (CFO)
(520) 360-7292
Entity
Organization
Contact information
Practice address
6344 E BROADWAY RD STE 107, MESA, AZ 85206-1634
(602) 888-0910
Mailing address
6344 E BROADWAY RD STE 107, MESA, AZ 85206-1634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
08/06/2024
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