# A BEAUTIFUL SHADE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215532619
- **Authorized official:** LAMETRIE SINGLETARY (MEMBER)
- **Authorized official phone:** (843) 424-7508

## Contact information

- **Practice address:** 5060 N 19TH AVE STE 206, PHOENIX, AZ 85015-3212
- **Practice address phone:** (843) 424-7508
- **Mailing address:** 8708 W WASHINGTON ST, TOLLESON, AZ 85353-1351
- **Mailing address phone:** (843) 424-7508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2020
- **Last updated:** 12/02/2020