Healthcare Provider Details

I. General information

NPI: 1053220541
Provider Name (Legal Business Name): STEEP THE TEA THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40038 W JENNA LN
MARICOPA AZ
85138-6004
US

IV. Provider business mailing address

40038 W JENNA LN
MARICOPA AZ
85138-6004
US

V. Phone/Fax

Practice location:
  • Phone: 623-471-4336
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR MCCARTHY
Title or Position: LPC
Credential:
Phone: 623-471-4336