Healthcare Provider Details

I. General information

NPI: 1598550527
Provider Name (Legal Business Name): CANFIELD COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 E INVERNESS AVE STE 109
MESA AZ
85206-3848
US

IV. Provider business mailing address

3635 E INVERNESS AVE STE 109
MESA AZ
85206-3848
US

V. Phone/Fax

Practice location:
  • Phone: 602-610-4325
  • Fax: 480-581-5323
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: KAYLA CANFIELD
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 208-407-8962