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General NPI Number Information
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NPI Number | 1871394890
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Entity Type | Organization
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Legal Business Name | BE WELL INTIMACY AND SEXUALITY COUNSELING
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 15427 N 2ND AVE
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City | PHOENIX
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State | AZ
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Zip | 85023-3622
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Country | US
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Telephone | 623-294-9599
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 41325
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City | PHOENIX
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State | AZ
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Zip | 85080-1325
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Country | US
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Telephone | 623-294-9599
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | REHEMA BOYES
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Credential |
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Telephone | 623-294-9599
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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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