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General NPI Number Information
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NPI Number | 1548189798
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Entity Type | Organization
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Legal Business Name | MAYA THERAPY CENTER LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 12914 W SIERRA VISTA DR
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City | GLENDALE
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State | AZ
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Zip | 85307-1915
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Country | US
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Telephone | 602-322-7038
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Fax |
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Provider Business Mailing Address
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Address Line | 505 S MADISON DR
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City | TEMPE
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State | AZ
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Zip | 85281-7213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASMINE ROBINSON
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Credential |
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Telephone | 216-832-0356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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