Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justice Ashanti Graham, LAC

Individual provider Mental Health Counselor · NPI 1184421588

Justice Ashanti Graham, LAC is a Mental Health Counselor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2025.

Licensed in
AZ
In the registry since
2025
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

112 N Central Ave Ste M43
Phoenix, AZ 85004-2309
Phone: (888) 500-2067
Fax: (617) 649-8520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 23003 (AZ)

Record details

NPI number1184421588
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedFebruary 25, 2025
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

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