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Organization
ONE LIFE CONSULTING
Active
Organization
ONE LIFE CONSULTING
Active
Other names
CHAYIM CONSULTING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALLACE CLYDE ANDREWS III MA/THERAPIST (BEHAVIORAL HEALTH CONSULTANT)
(480) 925-1393
Entity
Organization
Contact information
Practice address
6107 E ENCANTO ST, MESA, AZ 85205-5956
(310) 779-8804
Mailing address
1453 N DYSART RD # 322, AVONDALE, AZ 85323-1539
(310) 779-8804
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171400000X
Health & Wellness Coach
—
—
172A00000X
Driver
—
—
175T00000X
Peer Specialist
—
—
225800000X
Recreation Therapist
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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