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

Marilyn Lavette Redd

Individual provider Child Mental Illness Respite Care · NPI 1710043567

Marilyn Lavette Redd is a Child Mental Illness Respite Care in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
Specialties on file
2

Practice location Address checks out

4449 N 12th St Ste A1
Phoenix, AZ 85014-4596
Phone: (602) 279-1427
Fax: (602) 279-1431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 11743 (AZ)
Child Mental Illness Respite Care Taxonomy 385HR2055X · Licence 11743 (AZ)

Record details

NPI number1710043567
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 28, 2006
Last updated in NPPESFebruary 9, 2011
Mailing addressP.O. Box 16906, Phoenix, AZ 85011-6906

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