Provider Demographics
NPI:1225432552
Name:NORTH SCOTTSDALE FAMILY THERAPY
Entity Type:Organization
Organization Name:NORTH SCOTTSDALE FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HIRSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:480-946-5226
Mailing Address - Street 1:8669 E SAN ALBERTO DR
Mailing Address - Street 2:STE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4309
Mailing Address - Country:US
Mailing Address - Phone:480-946-5226
Mailing Address - Fax:480-946-4722
Practice Address - Street 1:8669 E SAN ALBERTO DR
Practice Address - Street 2:STE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4309
Practice Address - Country:US
Practice Address - Phone:480-946-5226
Practice Address - Fax:480-946-4722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-13462251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health