Healthcare Provider Details

I. General information

NPI: 1285599332
Provider Name (Legal Business Name): UNTANGLED WEB COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4824 E BASELINE RD STE 124
MESA AZ
85206-4679
US

IV. Provider business mailing address

3324 E RAY RD UNIT 1242
HIGLEY AZ
85236-4558
US

V. Phone/Fax

Practice location:
  • Phone: 602-351-5108
  • Fax:
Mailing address:
  • Phone: 602-351-5108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DANICA BRAZAITIS
Title or Position: SOLE MBR
Credential: LPC
Phone: 610-703-4525