| Miceli Family Therapy | |
|
14135 W Surrey Dr Surprise AZ 85379 | |
| (224) 622-1723 | |
| Not Available |
| Full Name | Miceli Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 14135 W Surrey Dr, Surprise, Arizona |
| Authorized Official Name and Position | Lauren Christine Miceli (OWNER/COUPLES AND FAMILY THERAPIST) |
| Authorized Official Contact | 7084009617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miceli Family Therapy 14135 W Surrey Dr Surprise AZ 85379-6637 Ph: (224) 622-1723 | Miceli Family Therapy 14135 W Surrey Dr Surprise AZ 85379 Ph: (224) 622-1723 |
| NPI Number | 1730959115 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730959115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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