Healthcare Provider Details

I. General information

NPI: 1023943149
Provider Name (Legal Business Name): JOSEPHINA NAVARRO PHILLIPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

1355 N GREENFIELD RD
MESA AZ
85205-4073
US

IV. Provider business mailing address

11023 E FLORIAN AVE
MESA AZ
85208-7500
US

V. Phone/Fax

Practice location:
  • Phone: 406-439-0834
  • Fax:
Mailing address:
  • Phone: 406-439-0306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: