Healthcare Provider Details

I. General information

NPI: 1275448607
Provider Name (Legal Business Name): ALYSE MEGAN HEIMAN LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9260 E RAINTREE DR STE 130
SCOTTSDALE AZ
85260-7311
US

IV. Provider business mailing address

4354 N 82ND ST UNIT 278
SCOTTSDALE AZ
85251-2755
US

V. Phone/Fax

Practice location:
  • Phone: 602-999-2855
  • Fax:
Mailing address:
  • Phone: 602-999-2855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLAMFT-11078
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: