Organization
ONE BREATH HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA M SHERVEY LMFT (MANAGING MEMBER)
(818) 585-2760
Entity
Organization
Contact information
Practice address
19175 N 95TH PL, SCOTTSDALE, AZ 85255-5573
(818) 585-2760
Mailing address
19175 N 95TH PL, SCOTTSDALE, AZ 85255-5573
(818) 588-6275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53680
MARRIAGE AND FAMILY THERAPY LICENSE
CA
01
—
LMFT-15266
MARRIAGE AND FAMILY THERAPY LICENSE
AZ
Enumeration date
08/06/2018
Last updated
01/14/2021
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