Healthcare Provider Details

I. General information

NPI: 1225961857
Provider Name (Legal Business Name): MARIAH HATCH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3033 N CENTRAL AVE STE 700
PHOENIX AZ
85012-2806
US

IV. Provider business mailing address

3101 N CENTRAL AVE STE 550
PHOENIX AZ
85012-2635
US

V. Phone/Fax

Practice location:
  • Phone: 602-230-7373
  • Fax: 602-257-8029
Mailing address:
  • Phone: 602-230-7373
  • Fax: 602-230-7373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLAC-22424
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-24860
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: