Organization
CONFIDENTIAL COUNSELING & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRA DAVENPORT (OWNER)
(336) 392-7099
Entity
Organization
Contact information
Practice address
10201 S 51ST ST STE 130, PHOENIX, AZ 85044-5226
(336) 392-7099
Mailing address
PO BOX 6346, CHANDLER, AZ 85246-6346
(336) 392-7099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
03/17/2018
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