Organization
PUSHING BOUNDARIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN POHEVITZ LAC (OWNER)
(818) 458-0865
Entity
Organization
Contact information
Practice address
2645 E CACTUS RD APT 158, PHOENIX, AZ 85032-7087
(818) 458-0865
Mailing address
4022 E GREENWAY RD STE 11, PHOENIX, AZ 85032-4733
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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