A Shepherds Place INC
Counselor, Mental Health in Chandler, AZ. Organization (NPI-2).
NPI number1356185649
StatusActive
Last updated in NPPESJun 21, 2024
Details
- NPI
- 1356185649
- Entity type
- Organization (NPI-2)
- Legal business name
- A Shepherds Place INC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2024
- Certification date
- Jun 21, 2024
- Last updated
- Jun 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
2122 E Lantana DrChandler, AZ 85286-0291
Phone 480-233-5511
Mailing address
Po Box 11533Chandler, AZ 85248-0009
Phone 280-233-5511
Authorized official
Job Elliott
Owner
4802335511
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