MEDICARE: BODY OF WISDOM INTUITIVE ARTS 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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1588508378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BODY OF WISDOM INTUITIVE ARTS LLC

Provider Business Mailing Address
First Line	:	246 IVANHOE AVE
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97404-2618
Country	:	US
Telephone Number	:	541-556-6860
Fax Number	:

Provider Business Practice Location Address
First Line	:	246 IVANHOE AVE
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97404-2618
Country	:	US
Telephone Number	:	541-363-7035
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	REBECCA D PERRY
Credential	:	LPC, NCC
Telephone Number	:	541-556-6860

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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