Organization
ONE BREATH HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA M SHERVEY LMFT (MANAGING MEMBER)
(818) 585-2760
Entity
Organization
Contact information
Practice address
8360 E VIA DE VENTURA STE L-240, SCOTTSDALE, AZ 85258-3172
(818) 585-2760
Mailing address
19175 N 95TH PL, SCOTTSDALE, AZ 85255-5573
(818) 585-2760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMFT-15266
STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
10/04/2018
Last updated
05/23/2019
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