Organization
HEALING SERVICE AGENCY LLC
Active
Organization
HEALING SERVICE AGENCY LLC
Active
Other names
HSA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT PAUL MARSHALL LCSW (SOLE OWNER)
(623) 850-5400
Entity
Organization
Contact information
Practice address
17505 N 79TH AVE STE 203, GLENDALE, AZ 85308-8726
(623) 850-5400
(623) 321-7850
Mailing address
17505 N 79TH AVE STE 203, GLENDALE, AZ 85308-8726
(623) 850-5400
(623) 321-7850
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
LCSW-17245
AZ
Other
Enumeration date
07/08/2018
Last updated
07/31/2020
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