Organization
PHOENIX PSYCHOLOGY AND COUNSELING LLC
Active
Organization
PHOENIX PSYCHOLOGY AND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE HAIT PSYD (OWNER/CLINICAL PSYCHOLOGIST)
(602) 633-5474
Entity
Organization
Contact information
Practice address
3240 E UNION HILLS DR STE 133, PHOENIX, AZ 85050-2629
(602) 633-5474
Mailing address
PO BOX 41191, PHOENIX, AZ 85080-1191
(602) 633-5474
(602) 733-6471
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4457
STATE LICENSE
AZ
Enumeration date
12/02/2015
Last updated
05/09/2022
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