Organization
DANTIA WELLNESS LLC
Active
Other names
Arise Healing Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA J HOUSE MA, LPC (AUTHORIZED OFFICIAL)
(602) 859-5550
Entity
Organization
Contact information
Practice address
34406 N 27TH DR STE 140, PHOENIX, AZ 85085-6079
(602) 859-5550
Mailing address
PO BOX 43527, PHOENIX, AZ 85080-3527
(602) 859-5550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-16029
—
106H00000X
Marriage & Family Therapist
LMFT-15223
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/27/2017
Last updated
02/16/2021
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