Organization
THE LICENSED CONNECTIONS, LLC
Active
Other names
The Licensed Connections, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUMA HODGE (ADMINISTRATOR)
(480) 447-9935
Entity
Organization
Contact information
Practice address
2341 N 83RD DR, PHOENIX, AZ 85037-3742
(480) 447-9935
Mailing address
2341 N 83RD DR, PHOENIX, AZ 85037-3742
(480) 447-9935
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080578
—
AZ
Enumeration date
09/13/2023
Last updated
09/29/2023
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