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General NPI Number Information
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NPI Number | 1285405225
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Entity Type | Organization
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Legal Business Name | OCEANBEE WELLNESS, LLC
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 14040 N CAVE CREEK RD STE 108
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City | PHOENIX
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State | AZ
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Zip | 85022-6117
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Country | US
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Telephone | 602-358-7073
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Fax | 949-695-4401
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Provider Business Mailing Address
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Address Line | 6635 W HAPPY VALLEY RD STE A104-621
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City | GLENDALE
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State | AZ
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Zip | 85310-2609
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Country | US
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Telephone | 602-642-7100
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Fax | 602-581-7162
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Authorized Official
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Title or Position | OWNER/CEO
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Name | TERI A HOURIHAN
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Credential | PHD
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Telephone | 602-642-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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