Organization
EARTHWALK WELLNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYRIE THOMPSON (MANAGING MEMBER)
(480) 349-1031
Entity
Organization
Contact information
Practice address
14050 NORTH 83RD AVENUE, SUITE 290, PEORIA, AZ 85381
(480) 349-1031
(623) 321-1565
Mailing address
7373 EAST DOUBLETREE RANCH, SUITE 165, SCOTTSDALE, AZ 85258
(480) 664-7478
(602) 297-6890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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