| My Therapist Inc | |
|
2435 E Southern Ave Ste 2 Tempe AZ 85282 | |
| (480) 205-0062 | |
| (480) 775-2789 |
| Full Name | My Therapist Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2435 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Patricia L Bradley Bates (PRESIDENT OF MY THERAPIST INC) |
| Authorized Official Contact | 4802050062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Therapist Inc 2435 E Southern Ave Ste 2 Tempe AZ 85282 Ph: (480) 205-0062 | My Therapist Inc 2435 E Southern Ave Ste 2 Tempe AZ 85282 Ph: (480) 205-0062 |
| NPI Number | 1922260082 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922260082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC0052 (Arizona) | Secondary |
| 106H00000X | Marriage & Family Therapist | LPC0757 (Arizona) | Primary |
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