Organization
INNERCONNECT ENTERPRISES, LLC
Active
Other names
InnerConnect Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE SMITH LPC (OWNER)
(480) 372-8597
Entity
Organization
Contact information
Practice address
3336 E CHANDLER HEIGHTS RD STE 123, GILBERT, AZ 85298-4263
(480) 372-8597
Mailing address
3336 E CHANDLER HEIGHTS RD STE 123, GILBERT, AZ 85298-4263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/14/2019
Last updated
03/04/2021
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