Organization
A BEAUTIFUL SHADE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMETRIE SINGLETARY (MEMBER)
(843) 424-7508
Entity
Organization
Contact information
Practice address
5060 N 19TH AVE STE 206, PHOENIX, AZ 85015-3212
(843) 424-7508
Mailing address
8708 W WASHINGTON ST, TOLLESON, AZ 85353-1351
(843) 424-7508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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