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HALEY ANNE BERGSTROM GRADUATE INTERN
NPI 1720955248
Marriage & Family Therapist in Glendale, AZ

Active since October 20, 2025
17505 N 79TH AVE STE 203, GLENDALE, AZ 85308(623) 887-3636 Get Directions Write a Review

NPPES record last updated: December 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Haley Anne Bergstrom Graduate Intern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALEY ANNE BERGSTROM GRADUATE INTERN (NPI 1720955248) is an individual marriage & family therapist in Glendale, Arizona, licensed in Arizona (LAMFT-08130T) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1720955248
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameHALEY ANNE BERGSTROMCredential: GRADUATE INTERN
Location Address17505 N 79TH AVE STE 203Glendale, AZ 85308-8726
Mailing Address17505 N 79th Ave Ste 203Glendale, AZ 85308-8726 · (623) 887-3636
Phone(623) 887-3636
Sole ProprietorNo
Enumeration DateOctober 20, 2025
Last NPPES UpdateDecember 27, 2025
NPPES CertifiedDecember 27, 2025
✔ NPI 1720955248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in AZ · LAMFT-08130T
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
17505 N 79TH AVE STE 203, Glendale, AZ 85308
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEJA ARMSTRONG
Counselor
17505 N 79TH AVE STE 203
GLENDALE, AZ 85308
Maricopa County (623) 866-3375
JOINT HEALING OPERATIONS
Case Manager/Care Coordinator
17505 N 79TH AVE STE 203
GLENDALE, AZ 85308
Maricopa County (623) 850-5400
RESTORATION PSYCHOLOGICAL SERVICES PHOENIX PLLC
Marriage & Family Therapist
17505 N 79TH AVE STE 203
GLENDALE, AZ 85308
Maricopa County (623) 887-3636
LYDIA CHRISTINE VERATTI FAMILY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
17505 N 79TH AVE STE 203
GLENDALE, AZ 85308
Maricopa County (480) 471-8560
SYDNEY ERICKSON
Marriage & Family Therapist
17505 N 79TH AVE STE 203
GLENDALE, AZ 85308
Maricopa County (623) 432-3057
HEALING SERVICE AGENCY LLC
Clinic/Center (Multi-Specialty)
17505 N 79TH AVE STE 203
GLENDALE, AZ 85308
Maricopa County (623) 850-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haley Bergstrom's NPI number?

The NPI number for Haley Bergstrom is 1720955248. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Where is Haley Bergstrom located?

Haley Bergstrom practices at 17505 N 79th Ave Ste 203, Glendale, AZ 85308. The listed phone number is (623) 887-3636.

What is Haley Bergstrom's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Haley Bergstrom was last updated on December 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.