Dakota Valley Healing, LLC
Counselor, Professional in Gilbert, AZ. Organization (NPI-2).
NPI number1760158554
StatusActive
Last updated in NPPESAug 20, 2021
Details
- NPI
- 1760158554
- Entity type
- Organization (NPI-2)
- Legal business name
- Dakota Valley Healing, LLC
- Organization subpart
- No
- Enumeration date
- Aug 20, 2021
- Certification date
- Aug 20, 2021
- Last updated
- Aug 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
2680 S Val Vista Dr Ste 143Gilbert, AZ 85295-1621
Phone 602-565-4014
Mailing address
2680 S Val Vista Dr Ste 143Gilbert, AZ 85295-1621
Phone 602-565-4014
Authorized official
Ulonda Old Coyote
Member
6025654014
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