Organization
URBAN SOCIETY MENTAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHEER LLEWELLYN GRAY II (CHIEF EXECUTIVE OFFICER)
(480) 334-3031
Entity
Organization
Contact information
Practice address
2087 E LIBRA PL, CHANDLER, AZ 85249-5205
(480) 334-3031
Mailing address
2087 E LIBRA PL, CHANDLER, AZ 85249-5205
(480) 334-3031
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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