Organization
VALLEY RESILIENT WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOMINECAA WHITE MS LPC BHP (CEO/CLINICIAN)
(480) 369-9261
Entity
Organization
Contact information
Practice address
45 E MONTEREY WAY STE 201, PHOENIX, AZ 85012-2757
(480) 369-9261
Mailing address
45 E MONTEREY WAY STE 201, PHOENIX, AZ 85012-2757
(480) 369-9261
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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