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General NPI Number Information
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NPI Number | 1649935016
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Entity Type | Organization
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Legal Business Name | ERISED COUNSELING, LLC
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 06/01/2025
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Provider Practice Location Address
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Address Line | 4600 E WASHINGTON ST STE 300
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City | PHOENIX
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State | AZ
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Zip | 85034-1908
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Country | US
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Telephone | 602-899-1374
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Fax | 602-930-4941
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Provider Business Mailing Address
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Address Line | 4600 E WASHINGTON ST STE 300
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City | PHOENIX
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State | AZ
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Zip | 85034-1908
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Country | US
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Telephone | 602-899-1374
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | JENALEE REMY
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Credential | LPC
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Telephone | 602-332-1881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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