| 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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