Healthcare Provider Details

I. General information

NPI: 1528849916
Provider Name (Legal Business Name): MS. PARISS BOBO-MITCHELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 N SCOTTSDALE RD
SCOTTSDALE AZ
85257-4234
US

IV. Provider business mailing address

3426 E UNIVERSITY DR UNIT 111
MESA AZ
85213-4400
US

V. Phone/Fax

Practice location:
  • Phone: 480-990-3720
  • Fax: 480-990-8085
Mailing address:
  • Phone: 602-743-5845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: