CLESHAUN A DUBOSE LAC
NPI 1568063154
Counselor - Professional in Phoenix, AZ

Active since November 02, 2020
4131 N 24TH ST STE B102, PHOENIX, AZ 85016(480) 882-4545 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2022, Nov 2, 2020 (2 updates tracked since 2020).

About Cleshaun A Dubose Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLESHAUN A DUBOSE LAC (NPI 1568063154) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LAC-19354) and active in the NPI registry since November 2020. She maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1568063154
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCLESHAUN A DUBOSECredential: LAC
Location Address4131 N 24TH ST STE B102Phoenix, AZ 85016-6231
Mailing Address9375 E Shea Blvd Ste 100Scottsdale, AZ 85260-6986 · (877) 207-1144
Sole ProprietorNo
Enumeration DateNovember 2, 2020
Last NPPES UpdateJune 7, 20222 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
NPI 1568063154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AZ · LAC-19354
4131 N 24TH ST STE B102, Phoenix, AZ 85016

Secondary Practice Location 1

Location 16344 E Brown Rd Ste 104Mesa, AZ 85205-4843 · Phone (844) 385-3747

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Nurse Practitioner (Family)
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Clinic/Center (Federally Qualified Health Center (FQHC))
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Counselor (Mental Health)
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Nurse Practitioner (Family)
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Nurse Practitioner (Family)
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Family Medicine
4131 N 24TH ST STE B102
PHOENIX, AZ 85016
Internal Medicine
4131 N 24TH ST STE B102
PHOENIX, AZ 85016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cleshaun Dubose's NPI number?

The NPI number for Cleshaun Dubose is 1568063154. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Cleshaun Dubose located?

Cleshaun Dubose practices at 4131 N 24th St Ste B102, Phoenix, AZ 85016. The listed phone number is (480) 882-4545.

What is Cleshaun Dubose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Cleshaun Dubose was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.