NPI 1003566845
Black Canyon Therapy and Wellness
Practice location
- Address
- 3061 W Casino Ave, Phoenix, AZ 85083-5890
- Phone
- (585) 339-8822
Authorised official
- Name
- Rachael Miles
- Title
- Owner
- Phone
- (585) 339-8822
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1003566845
- Entity type
- Organization
- NPI issued
- 25 Mar 2022
- Record last updated
- 25 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.