MEDICARE: BEST LIFE COUNSELING AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1235776444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST LIFE COUNSELING AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	414 E WINDMERE DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-1981
Country	:	US
Telephone Number	:	724-255-8801
Fax Number	:

Provider Business Practice Location Address
First Line	:	1345 E CHANDLER BLVD STE 105
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85048-6280
Country	:	US
Telephone Number	:	724-255-8801
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RUTHANN GOOZDICH
Credential	:
Telephone Number	:	480-912-4041

Provider Enumeration Date	:	12/06/2019
Last Update Date	:	01/29/2025

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