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General NPI Number Information
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NPI Number | 1336743434
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Entity Type | Organization
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Legal Business Name | SWEET SERENITY BEHAVIORAL HEALTH AND LIFE COACHING LLC
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 37526 W MERCED ST
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City | MARICOPA
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State | AZ
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Zip | 85138-5294
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Country | US
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Telephone | 520-251-1575
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Fax |
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Provider Business Mailing Address
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Address Line | 37526 W MERCED ST
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City | MARICOPA
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State | AZ
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Zip | 85138-5294
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Country | US
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Telephone | 520-251-1575
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | JACQUETTE BROWN
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Credential | LPC
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Telephone | 520-251-1575
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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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