Provider Demographics
NPI:1093540577
Name:AZ HOLISTIC APPROACH
Entity type:Organization
Organization Name:AZ HOLISTIC APPROACH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CATANZARO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:602-405-6625
Mailing Address - Street 1:3240 E UNION HILLS DR STE 107
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-2618
Mailing Address - Country:US
Mailing Address - Phone:602-529-1967
Mailing Address - Fax:
Practice Address - Street 1:3240 E UNION HILLS DR STE 107
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-2618
Practice Address - Country:US
Practice Address - Phone:602-529-1967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty