| Artisan Behavioral Health Llc | |
|
4450 S Rural Rd Suite E-125 Tempe AZ 85282-7037 | |
| (480) 659-8245 | |
| (480) 471-8186 |
| Full Name | Artisan Behavioral Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4450 S Rural Rd, Tempe, Arizona |
| Authorized Official Name and Position | Tammy Lea Mcfadden (COUNSELOR) |
| Authorized Official Contact | 4806598245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Artisan Behavioral Health Llc Po Box 27228 Tempe AZ 85285-7228 Ph: (480) 659-8245 | Artisan Behavioral Health Llc 4450 S Rural Rd Suite E-125 Tempe AZ 85282-7037 Ph: (480) 659-8245 |
| NPI Number | 1568912756 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568912756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-11856 (Arizona) | Secondary |
| 101YM0800X | Counselor - Mental Health | LPC-13296 (Arizona) | Primary |
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