| Desert Center For Conscious Evolution, Llc | |
|
16042 N 32nd St Ste B-13 Phoenix AZ 85032-3806 | |
| (480) 630-4067 | |
| (480) 204-3121 |
| Full Name | Desert Center For Conscious Evolution, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 16042 N 32nd St Ste B-13, Phoenix, Arizona |
| Authorized Official Name and Position | Chanda Gonzales (OWNER/THERAPIST) |
| Authorized Official Contact | 4806304067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Center For Conscious Evolution, Llc 16042 N 32nd St Ste B-13 Phoenix AZ 85032-3806 Ph: (480) 630-4067 | Desert Center For Conscious Evolution, Llc 16042 N 32nd St Ste B-13 Phoenix AZ 85032-3806 Ph: (480) 630-4067 |
| NPI Number | 1548924699 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548924699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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