Organization
TERRAS PLACE LLC
Active
Other names
Terras Place LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOBBI VOGELSANG LCSW (CO-OWNER)
(602) 285-9696
Entity
Organization
Contact information
Practice address
2435 E SOUTHERN AVE STE 2, TEMPE, AZ 85282-7628
(855) 483-7727
Mailing address
2435 E SOUTHERN AVE STE 2, TEMPE, AZ 85282-7628
(855) 483-7727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10882
AZ
101YM0800X
Mental Health Counselor
13529
AZ
101YP2500X
Professional Counselor
14092
AZ
103TC1900X
Counseling Psychologist
1960
AZ
1041C0700X
Clinical Social Worker
0547
AZ
1041C0700X
Clinical Social Worker
Primary
10874
AZ
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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