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General NPI Number Information
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NPI Number | 1124636865
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Entity Type | Organization
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Legal Business Name | ELITE PSYCHOLOGY AND WELLNESS, PLLC
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 8590 E SHEA BLVD STE 130
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6682
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Country | US
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Telephone | 602-540-0441
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Fax |
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Provider Business Mailing Address
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Address Line | 8590 E SHEA BLVD STE 130
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6682
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Country | US
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Telephone | 602-540-0441
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ANGELA SHABA
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Credential |
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Telephone | 602-540-0441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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