MEDICARE: SYBIL NWULU

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	LAC-22228	AZ

General Provider Information

NPI Number	:	1548996671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYBIL NWULU

Provider Business Mailing Address
First Line	:	1151 S FOREST AVE
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85281-2001
Country	:	US
Telephone Number	:	602-598-0980
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 E PALM LN STE 255
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-4604
Country	:	US
Telephone Number	:	602-918-3664
Fax Number	:	480-681-1916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2022
Last Update Date	:	04/13/2026

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Directions to “ SYBIL NWULU ” Practice Location

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