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General NPI Number Information
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NPI Number | 1902690142
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Entity Type | Organization
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Legal Business Name | ZOE COUNSELING CENTER LLC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 18001 N 79TH AVE STE B20
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City | GLENDALE
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State | AZ
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Zip | 85308-8390
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Country | US
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Telephone | 480-979-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 711 DE LA VINA ST APT 5
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City | SANTA BARBARA
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State | CA
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Zip | 93101-5530
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SPENCER POTESTA
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Credential | MA, MA, LCPC, NCC
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Telephone | 480-979-6200
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 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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