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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