Healthcare Provider Details

I. General information

NPI: 1124733878
Provider Name (Legal Business Name): JOY ANN PLOTE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 E BASELINE RD STE D3
TEMPE AZ
85283-1520
US

IV. Provider business mailing address

1708 N 15TH AVE
PHOENIX AZ
85007-1616
US

V. Phone/Fax

Practice location:
  • Phone: 602-245-5975
  • Fax:
Mailing address:
  • Phone: 602-245-5975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC-23579
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: