Organization
WOMEN'S HEALTH INNOVATIONS OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LACY LPC (EXECUTIVE DIRECTOR)
(480) 339-7119
Entity
Organization
Contact information
Practice address
1355 S HIGLEY RD STE 113, GILBERT, AZ 85296-4789
(480) 339-7119
(480) 855-7991
Mailing address
1355 S HIGLEY RD STE 113, GILBERT, AZ 85296-4789
(480) 339-7119
(480) 855-7991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
MED7600
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
572555
—
AZ
Enumeration date
06/01/2018
Last updated
07/12/2024
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