A Beautiful Shade LLC
Counselor (Mental Health)

Address: 5060 N 19th Ave Ste 206, Phoenix, AZ 85015-3212
Phone: 8434247508

A Beautiful Shade LLC (NPI# 1215532619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1215532619
Entity Type Organization
Organization Name A BEAUTIFUL SHADE LLC
Practice Address 5060 N 19th Ave Ste 206
Phoenix
AZ 85015-3212
Practice Telephone 8434247508
Mailing Address 8708 W Washington St
Tolleson
AZ 85353-1351
Mailing Telephone 8434247508
Authorized Official Name Lametrie Singletary (MEMBER)
Authorized Official Telephone 8434247508
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-12-02
Last Update Date 2020-12-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 5060 N 19TH AVE STE 206
City PHOENIX
State AZ
Zip Code 85015-3212

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1083100564 Leen Qutachi Dentist 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 2018-07-08
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1407230964 Sean Noonan Optometrist 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 2015-07-15
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Competitor

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City PHOENIX
Zip Code 85015

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.