Northern Lights Therapy Pllc | |
21300 N John Wayne Pkwy Ste 103 Maricopa AZ 85139-8964 | |
(623) 243-2774 | |
Not Available |
Full Name | Northern Lights Therapy Pllc |
---|---|
Speciality | Counselor - Mental Health |
Location | 21300 N John Wayne Pkwy Ste 103, Maricopa, Arizona |
Authorized Official Name and Position | Brianna Reinhold (OWNER/THERAPIST) |
Authorized Official Contact | 6232432774 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northern Lights Therapy Pllc 21300 N John Wayne Pkwy Ste 103 Maricopa AZ 85139-8964 Ph: (623) 243-2774 | Northern Lights Therapy Pllc 21300 N John Wayne Pkwy Ste 103 Maricopa AZ 85139-8964 Ph: (623) 243-2774 |
NPI Number | 1023639630 |
---|---|
Provider Enumeration Date | 05/05/2020 |
Last Update Date | 05/05/2020 |
Certification Date | 05/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023639630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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