Healthcare Provider Details

I. General information

NPI: 1568989671
Provider Name (Legal Business Name): HEAL AZ COUNSELING AND WELLNESS CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2017
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 S PRICE RD STE 210A
CHANDLER AZ
85286-6609
US

IV. Provider business mailing address

3673 E NOLAN DR
CHANDLER AZ
85249-4697
US

V. Phone/Fax

Practice location:
  • Phone: 602-708-4083
  • Fax:
Mailing address:
  • Phone: 602-708-3429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3961
License Number StateAZ

VIII. Authorized Official

Name: DR. NITIKA SINGH
Title or Position: PSYCHOLOGIST/OWNER
Credential: PHD
Phone: 602-708-4083