Organization
THIRD EYE INTEGRATION, LLC
Active
Other names
Third Eye Integration
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY YVONNE SHEPHERD MA, CCTP (OWNER)
(623) 986-3987
Entity
Organization
Contact information
Practice address
18631 N 19TH AVE STE 158305, PHOENIX, AZ 85027-0408
(623) 986-3987
Mailing address
18631 N 19TH AVE STE 158305, PHOENIX, AZ 85027-0408
(623) 986-3987
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
09/09/2019
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