| Kwhitlatch Llc | |
|
3303 E Baseline Rd Bldg 2 Gilbert AZ 85234-2738 | |
| (480) 788-9816 | |
| Not Available |
| Full Name | Kwhitlatch Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3303 E Baseline Rd Bldg 2, Gilbert, Arizona |
| Authorized Official Name and Position | Karissa Whitlatch (THERAPIST/OWNER) |
| Authorized Official Contact | 9092626616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kwhitlatch Llc 3303 E Baseline Rd Bldg 2 Gilbert AZ 85234-2738 Ph: (480) 788-9816 | Kwhitlatch Llc 3303 E Baseline Rd Bldg 2 Gilbert AZ 85234-2738 Ph: (480) 788-9816 |
| NPI Number | 1457294639 |
|---|---|
| Provider Enumeration Date | 04/13/2026 |
| Last Update Date | 04/13/2026 |
| Certification Date | 04/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457294639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 174N00000X | Lactation Consultant, Non-rn | (* (Not Available)) | Secondary |
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