| Desert Magnolia Therapeutic Services | |
|
16165 N 83rd Ave 200 Peoria AZ 85382-4227 | |
| (602) 284-4421 | |
| Not Available |
| Full Name | Desert Magnolia Therapeutic Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 16165 N 83rd Ave, Peoria, Arizona |
| Authorized Official Name and Position | Evette Mei (PRESIDENT) |
| Authorized Official Contact | 6022844421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Magnolia Therapeutic Services 16165 N 83rd Ave Ste 200 Peoria AZ 85382-5816 Ph: () - | Desert Magnolia Therapeutic Services 16165 N 83rd Ave 200 Peoria AZ 85382-4227 Ph: (602) 284-4421 |
| NPI Number | 1073390589 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073390589 | NPI | - | NPPES |
| 1518334366 | Other | AZ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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