Desert Faith Therapy Services, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DESERT FAITH THERAPY SERVICES, LLC

Practice address

10000 N 31St Ave Ste D311
Phoenix, AZ 85051-1701

Phone

(602) 573-8689

NPI assigned

Nov 9, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Henry, LCSW

Title

Co-Owner

Phone

(602) 573-8689

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1992218119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 W PERSHING ST",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853358225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE D311",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511701",
            "telephone_number": "602-573-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FAITH THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "602-573-8689",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.