MEDICARE: 4 THE LOVE OF SELF

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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1659226025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	4 THE LOVE OF SELF

Provider Business Mailing Address
First Line	:	8205 S PRIEST DR UNIT 12542
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85284-0179
Country	:	US
Telephone Number	:	480-562-7480
Fax Number	:	480-359-2468

Provider Business Practice Location Address
First Line	:	2950 S ALMA SCHOOL RD STE 10
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-4036
Country	:	US
Telephone Number	:	480-562-7480
Fax Number	:	480-562-7480

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	MS. SHAUNA BROWN
Credential	:	LPC
Telephone Number	:	480-562-7480

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “4 THE LOVE OF SELF ” Practice Location

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