Black Canyon Therapy and Wellness

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BLACK CANYON THERAPY AND WELLNESS

Practice address

3061 W Casino Ave
Phoenix, AZ 85083-5890

Phone

(585) 339-8822

NPI assigned

Mar 25, 2022

Organization subpart

No

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachael Miles, MA, LMFT

  • Marriage & Family Therapist
  • Phoenix, AZ
  • NPI 1093173494
  NPD Authorized official

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rachael Miles, LMFTNPI 1093173494

Title

Owner

Phone

(585) 339-8822

Specialties & licenses 1

Addresses

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1003566845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 W CASINO AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850835890",
            "telephone_number": "585-339-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 W CASINO AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850835890",
            "telephone_number": "585-339-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK CANYON THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-339-8822",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bjorn Melander DDS PLC
• Paul Bjornen, OTR/L
• Dawn Bjornson
• Tige Adam Bjornson, CNP
• Black Canyon Anesthesia, PC.
• Black Family and Child Services Inc
• Black Family and Child Services Inc
• Black Family and Child Services Inc
• Black Family and Child Services Inc
• Black Family and Child Services Inc

• All providers in Phoenix, AZ
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.