Organization
THERAPEUTIC EDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINI MAYFIELD PMHNP-BC (OWNER)
(623) 552-8895
Entity
Organization
Contact information
Practice address
501 E PLAZA CIR DR STE 8, LITCHFIELD PARK, AZ 85340-4909
(623) 552-8895
Mailing address
3101 N CENTRAL AVE STE 183, PHOENIX, AZ 85012-3616
(623) 552-8895
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
08/29/2025
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