Healthcare Provider Details

I. General information

NPI: 1871394890
Provider Name (Legal Business Name): BE WELL INTIMACY AND SEXUALITY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 WALDEN WAY
FORT COLLINS CO
80526-3235
US

IV. Provider business mailing address

PO BOX 41325
PHOENIX AZ
85080-1325
US

V. Phone/Fax

Practice location:
  • Phone: 623-294-9599
  • Fax:
Mailing address:
  • Phone: 623-294-9599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REHEMA BOYES
Title or Position: LPC
Credential:
Phone: 623-294-9599