Organization
AZ THERAPY LLC
Active
Other names
Road to Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOFIA HASSID LCSW (CLINICIAN)
(424) 465-3058
Entity
Organization
Contact information
Practice address
2633 E INDIAN SCHOOL RD STE 250, PHOENIX, AZ 85016-0703
(424) 465-3058
Mailing address
2401 E ELM ST, PHOENIX, AZ 85016-4808
(424) 465-3058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16812
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429932
—
AZ
Enumeration date
10/30/2017
Last updated
08/27/2019
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