Organization
ASA NOW ROOTS OF RESILIENCY LLC
Active
Organization
ASA NOW ROOTS OF RESILIENCY LLC
Active
Other names
ASA NOW Roots of Resiliency LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TEACHOUT (PRESIDENT)
(480) 822-8443
Entity
Organization
Contact information
Practice address
7830 E UNIVERSITY DR, MESA, AZ 85207-6606
(480) 822-8443
Mailing address
1517 E BLUEBIRD CT, GILBERT, AZ 85297-6820
(480) 822-8443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC1900X
Counseling Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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