Organization
INTERCESSORY COUNSELING & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RAYES LPC (OWNER)
(602) 599-2000
Entity
Organization
Contact information
Practice address
7121 W BELL RD STE 115, GLENDALE, AZ 85308-8555
(602) 599-2000
(602) 599-2009
Mailing address
7121 W BELL RD STE 115, GLENDALE, AZ 85308-8555
(602) 599-2000
(602) 599-2009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-15078
AZ
101YP2500X
Professional Counselor
Primary
LPC-17155
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418298
—
AZ
Enumeration date
03/12/2018
Last updated
07/12/2024
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