Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2015-09-07
- Last updated
- 2015-11-09
Specialties
Licenses
- License AZ
- 6130
Location
- Practice location
- 31 BELL ROCK PLZ STE B
- City
- SEDONA AZ
- Postal code
- 863519099
- Phone
- 928-284-4755
Organization contact
- Name
- AMY DAVIS
- Title
- Owner, Therapist
- Phone
- 9282844755
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.