Organization
AZ THERAPY LLC
Active
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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