# DE NOVO WELLNESS CENTER

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

## Provider details

- **NPI number:** 1386170033
- **Authorized official:** SOMAYEH SHUNK M.S. (THERAPIST)
- **Authorized official phone:** (520) 400-4349

## Contact information

- **Practice address:** 7400 N ORACLE RD, SUITE 172, TUCSON, AZ 85704-6331
- **Practice address phone:** (520) 400-4349
- **Mailing address:** 7400 N ORACLE RD, SUITE 172, TUCSON, AZ 85704-6331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | LPC 13260 | AZ | — |
| 101Y00000X | Counselor | LPC 14085 | AZ | — |
| 101YM0800X | Mental Health Counselor | LPC 15271 | AZ | Yes |

## Other

- **Enumeration date:** 05/02/2017
- **Last updated:** 05/02/2017