| Black Canyon Therapy And Wellness | |
|
3061 W Casino Ave Phoenix AZ 85083-5890 | |
| (585) 339-8822 | |
| Not Available |
| Full Name | Black Canyon Therapy And Wellness |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3061 W Casino Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Rachael Miles (OWNER) |
| Authorized Official Contact | 5853398822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Canyon Therapy And Wellness 3061 W Casino Ave Phoenix AZ 85083-5890 Ph: (585) 339-8822 | Black Canyon Therapy And Wellness 3061 W Casino Ave Phoenix AZ 85083-5890 Ph: (585) 339-8822 |
| NPI Number | 1003566845 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003566845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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