Organization
MILLENNIAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PRYOR (OWNER)
(847) 250-2815
Entity
Organization
Contact information
Practice address
1003 W WASHINGTON ST APT 3094, TEMPE, AZ 85281-0936
(847) 250-2815
Mailing address
1003 W WASHINGTON ST APT 3094, TEMPE, AZ 85281-0936
(847) 250-2815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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