Organization
CREATIVE QUIESCENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE LEWIS MC, LPC (OWNER)
(602) 525-1058
Entity
Organization
Contact information
Practice address
11201 N TATUM BLVD STE 300, PHOENIX, AZ 85028-6039
(602) 525-1058
Mailing address
15212 N 23RD AVE, PHOENIX, AZ 85023-5056
(602) 525-1058
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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