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NPI Code Detail

MEDICARE: TWO WINGS THERAPY LLC

MEDICARE: TWO WINGS THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1104664127
Entity Type Code : Organization
Provider Name (Legal Business Name) : TWO WINGS THERAPY LLC
Provider Business Mailing Address
First Line : 145 E UNIVERSITY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-7738
Country : US
Telephone Number : 520-333-7682
Fax Number :
Provider Business Practice Location Address
First Line : 145 E UNIVERSITY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85705-7738
Country : US
Telephone Number : 520-333-7682
Fax Number :
Authorized Official
Title or Position : OWNER / THERAPIST
Name : CHRISTINE HEINISCH
Credential : LPC
Telephone Number : 520-333-7682
Provider Enumeration Date : 07/15/2024
Last Update Date : 07/15/2024

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Directions to “TWO WINGS THERAPY LLC ” Practice Location

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