Organization
PHOENIX MIND BODY CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY D HANSON LCSW (CEO)
(602) 471-3124
Entity
Organization
Contact information
Practice address
2942 N. 24TH ST SUITE 114, PHOENIX, AZ 85016
(602) 235-0575
(602) 241-9580
Mailing address
PO BOX 16998, PHOENIX, AZ 85011-6998
(602) 241-9580
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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