Healthcare Provider Details
I. General information
NPI: 1043398993
Provider Name (Legal Business Name): ARETE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10000 N 31ST AVENUE SUITE A105
PHOENIX AZ
85051-9568
US
IV. Provider business mailing address
10000 N 31ST AVENUE SUITE A105
PHOENIX AZ
85051-9568
US
V. Phone/Fax
- Phone: 602-749-1171
- Fax: 602-749-8588
- Phone: 602-749-1171
- Fax: 602-749-8588
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TP2701X |
| Taxonomy | Group Psychotherapy Psychologist |
| License Number | LISAC0023 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | LPC1772 |
| License Number State | AZ |
VIII. Authorized Official
Name:
JIM
B
FOLSOM
Title or Position: OWNER
Credential:
Phone: 602-749-1171