Provider Demographics
NPI:1235456468
Name:TRUE NORTH TREATMENT CENTER
Entity Type:Organization
Organization Name:TRUE NORTH TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHONA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHEWMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:888-849-4887
Mailing Address - Street 1:PO BOX 74695
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85087-1012
Mailing Address - Country:US
Mailing Address - Phone:888-849-4887
Mailing Address - Fax:888-849-5696
Practice Address - Street 1:34975 N NORTH VALLEY PKWY
Practice Address - Street 2:SUITE 152
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85086-4028
Practice Address - Country:US
Practice Address - Phone:888-849-4887
Practice Address - Fax:888-849-5696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13421101Y00000X
AZ3944103TC0700X
AZ3822103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty