| Center for Progressive Therapies LLC | |
|
11011 S 48th St Ste 101 Phoenix AZ 85044-1787 | |
| (480) 223-8263 | |
| (480) 247-5705 |
| Full Name | Center for Progressive Therapies LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11011 S 48th St Ste 101, Phoenix, Arizona |
| Authorized Official Name and Position | Mysti Rachelle Rainwater (OWNER) |
| Authorized Official Contact | 4802238263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center for Progressive Therapies LLC 11011 S 48th St Ste 101 Phoenix AZ 85044-1787 Ph: (480) 223-8263 | Center for Progressive Therapies LLC 11011 S 48th St Ste 101 Phoenix AZ 85044-1787 Ph: (480) 223-8263 |
| NPI Number | 1144786245 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144786245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
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