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NPI Code Detail

MEDICARE: BRENDA CHANEL DEMAYO LMFT

MEDICARE: BRENDA CHANEL DEMAYO LMFT
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
1101YM0800XMental Health Counselor5229CA
2106H00000XMarriage & Family Therapist16196AZ

General Provider Information

NPI Number : 1518636448
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA CHANEL DEMAYO LMFT
Provider Business Mailing Address
First Line : 1910 S STAPLEY DR STE 209
Second Line :
City : MESA
State : AZ
Zip : 85204-6679
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1910 S STAPLEY DR STE 209
Second Line :
City : MESA
State : AZ
Zip : 85204-6679
Country : US
Telephone Number : 888-374-5066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2021
Last Update Date : 03/23/2026

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Directions to “ BRENDA CHANEL DEMAYO LMFT” Practice Location

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