Organization
JENIS ASSOCIATES, LLC
Active
Other names
Ribbons Of Life Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN RENEE BEATTY-TAYLOR MC, LPC, CTNC,CMHIMP (LICENSED PROFESSIONAL COUNSELOR)
(480) 775-3528
Entity
Organization
Contact information
Practice address
603 N ROSEMONT CIR, MESA, AZ 85205-6427
(480) 775-3528
Mailing address
4111 E VALLEY AUTO DR, SUITE 201, MESA, AZ 85206-4605
(480) 775-3528
(480) 813-2987
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10886
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7434358
AETNA PROVIDER ID
AZ
01
—
760718268
MAGELLAN PROVIDER ID
AZ
01
—
896467
AHCCCS PROVIDER ID
AZ
Enumeration date
03/21/2007
Last updated
02/18/2025
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