MEDICARE: BE WELL INTIMACY AND SEXUALITY COUNSELING

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1871394890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BE WELL INTIMACY AND SEXUALITY COUNSELING

Provider Business Mailing Address
First Line	:	PO BOX 41325
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85080-1325
Country	:	US
Telephone Number	:	623-294-9599
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 WALDEN WAY
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-3235
Country	:	US
Telephone Number	:	623-294-9599
Fax Number	:

Authorized Official
Title or Position	:	LPC
Name	:	REHEMA BOYES
Credential	:
Telephone Number	:	623-294-9599

Provider Enumeration Date	:	03/24/2025
Last Update Date	:	05/12/2026

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