Healthcare Provider Details

I. General information

NPI: 1134975626
Provider Name (Legal Business Name): FRAME OF HEART COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6239 E BROWN RD STE 118
MESA AZ
85205-4933
US

IV. Provider business mailing address

9708 E OSAGE AVE
MESA AZ
85212-2074
US

V. Phone/Fax

Practice location:
  • Phone: 602-336-6406
  • Fax: 480-612-0145
Mailing address:
  • Phone: 480-787-6374
  • Fax: 480-612-0145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES WEISBECKER
Title or Position: OWNER
Credential: LPC
Phone: 480-787-6374