Provider Demographics
NPI:1841029493
Name:LAURA P KESSLER, PLLC
Entity type:Organization
Organization Name:LAURA P KESSLER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:602-295-1818
Mailing Address - Street 1:1910 E WAGONER RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-1365
Mailing Address - Country:US
Mailing Address - Phone:602-295-1818
Mailing Address - Fax:
Practice Address - Street 1:1910 E WAGONER RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-1365
Practice Address - Country:US
Practice Address - Phone:602-295-1818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health