Provider Demographics
NPI:1316543911
Name:SEWELL, TONI MARIA (LMFT)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:MARIA
Last Name:SEWELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:MARIA
Other - Last Name:PAVESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8633 W MARCONI AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-4721
Mailing Address - Country:US
Mailing Address - Phone:602-301-0927
Mailing Address - Fax:
Practice Address - Street 1:7301 N 16TH ST STE 102
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5266
Practice Address - Country:US
Practice Address - Phone:602-301-0927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT-15493106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist