Individual ProviderBen HedbergCounselorBehavioral Health & Social Service ProvidersPractice Address4545 E Shea Blvd, Suite 240, Phoenix, AZ 85028-3074(602) 347-8100PECOS EnrollmentBased on the most recent information from CMS, provider Ben Hedberg does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1134117823Provider TypeIndividualFull NameHedberg, BenTitleMr.CredentialLPCGenderMaleSole ProprietorYesEnumeration Date10/7/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address4545 E Shea Blvd, Suite 240, Phoenix, AZ 85028-3074Phone(602) 347-8100Fax(602) 242-0887Mailing LocationMailing Address4545 E Shea Blvd, Suite 240, Phoenix, AZ 85028-3074PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLPC-1992Arizona