Healthcare Provider Details

I. General information

NPI: 1285538371
Provider Name (Legal Business Name): HONEST HEALING THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1969 E DEL RIO ST
GILBERT AZ
85295-5173
US

IV. Provider business mailing address

1969 E DEL RIO ST
GILBERT AZ
85295-5173
US

V. Phone/Fax

Practice location:
  • Phone: 602-615-4302
  • Fax:
Mailing address:
  • Phone: 602-615-4302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MEGAN MAGDALENO
Title or Position: OWNER
Credential: M.A.C, LPC
Phone: 602-615-4302