Organization
THE ORDER OF PROMISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON DAVID HALLSTROM PHD, LIAC, LCDC (OWNER)
(480) 360-2172
Entity
Organization
Contact information
Practice address
1930 S ALMA SCHOOL RD STE A203, MESA, AZ 85210-3066
(480) 256-8566
Mailing address
1930 S ALMA SCHOOL RD STE A203, MESA, AZ 85210-3066
(480) 256-8566
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
10/16/2024
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