Organization
UNTAMED ROSE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA CHAVEZ LPC (OWNER)
(480) 331-1815
Entity
Organization
Contact information
Practice address
1324 E STIRRUP LN, SAN TAN VALLEY, AZ 85143-3235
(480) 331-1815
Mailing address
1525 S HIGLEY RD STE 104-1076, GILBERT, AZ 85296-4795
(480) 331-1815
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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