Organization
AVERY'S HOUSE LLC
Active
Parent organization
AVERY'S HOUSE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERY'S HOUSE LLC
Authorized official
ANDREA STINER (BILLING DIRECTOR)
(602) 694-9643
Entity
Organization
Contact information
Practice address
11624 E SHEA BLVD, SCOTTSDALE, AZ 85259-5111
(203) 200-8556
Mailing address
11445 E VIA LINDA STE 2-617, SCOTTSDALE, AZ 85259-2655
(602) 694-9643
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7992
STATE LICENSE
AZ
Enumeration date
09/09/2022
Last updated
12/11/2025
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