OrganizationActive
Aj Southwest Ventures Inc
NPI 1639880917 · Marriage & Family Therapist · Tempe, AZ
Provider details
- NPI number
- 1639880917
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Allyson Fernstrom, Owner(602) 502-3806
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500
Phone: (480) 674-9220
Fax: (674) 480-9231
Approximate (ZIP-level) locationGet directions
Mailing address
3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500
Other names (DBA / former)
- Doing business as
- Revibe Mental Health
Registry dates
- Enumerated
- 2022-12-08
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.