Individual
HEATHER MELANIE QUINCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(602) 774-4745
Mailing address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(602) 774-4745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-16405
AZ
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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