| Psychotherapy Innovations, Plc | |
|
1130 E Missouri Ave Suite 780 Phoenix AZ 85014-2718 | |
| (602) 326-7438 | |
| (602) 513-7303 |
| Full Name | Psychotherapy Innovations, Plc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1130 E Missouri Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Douglas Andrew Malm (OWNER) |
| Authorized Official Contact | 6023267438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Innovations, Plc 1130 E Missouri Ave Suite 780 Phoenix AZ 85014-2718 Ph: (602) 326-7438 | Psychotherapy Innovations, Plc 1130 E Missouri Ave Suite 780 Phoenix AZ 85014-2718 Ph: (602) 326-7438 |
| NPI Number | 1417380874 |
|---|---|
| Provider Enumeration Date | 08/20/2013 |
| Last Update Date | 08/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417380874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-12213 (Arizona) | Primary |
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