| Blooming Clematis Therapy & Consulting Llc | |
|
2214 W Los Arboles Pl Chandler AZ 85224-2143 | |
| (480) 340-1236 | |
| Not Available |
| Full Name | Blooming Clematis Therapy & Consulting Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2214 W Los Arboles Pl, Chandler, Arizona |
| Authorized Official Name and Position | Vicki Davis (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6026095255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Clematis Therapy & Consulting Llc Po Box 8130 Chandler AZ 85246-8130 Ph: (480) 340-1236 | Blooming Clematis Therapy & Consulting Llc 2214 W Los Arboles Pl Chandler AZ 85224-2143 Ph: (480) 340-1236 |
| NPI Number | 1558055152 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558055152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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