Active NPIOrganization

A Beautiful Shade LLC

Counselor, Mental Health in Phoenix, Arizona

NPI Number1215532619
Practice location
5060 N 19TH Ave Ste 206, Phoenix, AZ 85015-3212
Fax
—
Last updated
December 2, 2020

A Beautiful Shade LLC is a healthcare organization based in Phoenix, AZ. The NPI number for A Beautiful Shade LLC is 1215532619. The current practice location address is 5060 N 19TH Ave Ste 206, Phoenix, AZ 85015-3212 and the office can be reached by phone at 843-424-7508. The NPI was assigned on December 2, 2020 and the record was last updated in NPPES on December 2, 2020.

●Provider Profile Details

NPI Number
1215532619
Provider Name
A Beautiful Shade LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Organization Subpart
No
Authorized Official
Lametrie Singletary · Member · 843-424-7508
Enumeration Date
December 2, 2020
Last Update Date
December 2, 2020
Certification Date
December 2, 2020
NPI Status
Active

◉Business Practice Location Address

Address
5060 N 19TH Ave Ste 206
Phoenix, AZ 85015-3212
State
Arizona
ZIP
85015-3212
Country
US
Phone Number
843-424-7508

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✉Business Mailing Address

Address
8708 W Washington St
Tolleson, AZ 85353-1351
City
Tolleson
State
AZ
ZIP
85353-1351
Phone Number
843-424-7508

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health
193200000X - Multi-Specialty Group
101YM0800XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of A Beautiful Shade LLC?

The NPI number of A Beautiful Shade LLC is 1215532619. It was assigned on December 2, 2020 and is currently active in the NPPES registry.

What is the specialty of A Beautiful Shade LLC?

A Beautiful Shade LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does A Beautiful Shade LLC practice?

The practice location is 5060 N 19TH Ave Ste 206, Phoenix, AZ 85015-3212. The office can be reached at 843-424-7508 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215532619 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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