Provider Demographics
NPI:1558118802
Name:GUIDED JOURNEYS AZ
Entity type:Organization
Organization Name:GUIDED JOURNEYS AZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SLDGE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-236-8202
Mailing Address - Street 1:2177 E WARNER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3511
Mailing Address - Country:US
Mailing Address - Phone:480-236-8202
Mailing Address - Fax:
Practice Address - Street 1:2177 E WARNER RD STE 101
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-3511
Practice Address - Country:US
Practice Address - Phone:480-236-8202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty