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NPI Code Detail

MEDICARE: WITH AN OPEN HEART, LLC.

MEDICARE: WITH AN OPEN HEART, 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
12084P0800XPsychiatry Physician
2101YP2500XProfessional Counselor
31041C0700XClinical Social Worker

General Provider Information

NPI Number : 1619798196
Entity Type Code : Organization
Provider Name (Legal Business Name) : WITH AN OPEN HEART, LLC.
Provider Business Mailing Address
First Line : 4500 S LAKESHORE DR STE 415
Second Line :
City : TEMPE
State : AZ
Zip : 85282-7056
Country : US
Telephone Number : 480-234-9256
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LAKESHORE DR STE 415
Second Line :
City : TEMPE
State : AZ
Zip : 85282-7056
Country : US
Telephone Number : 480-234-9256
Fax Number :
Authorized Official
Title or Position : OWNER/THERAPIST
Name : MRS. ILIAMARI VAZQUEZ HOUSTON
Credential : LCSW
Telephone Number : 480-234-9256
Provider Enumeration Date : 10/17/2024
Last Update Date : 01/23/2026

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Directions to “WITH AN OPEN HEART, LLC. ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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