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Organization

MORT MORI

Active
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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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