LIFEMOR INC. NPI 1710224779

NPI Information

NPI: 1710224779
Provider Name: LIFEMOR INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
875 S ESTRELLA PKWY UNIT 6573
GOODYEAR, AZ
ZIP 85338
Phone: (480) 370-0227
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LIFEMOR INC. is a mental health counselor in Goodyear, AZ. LIFEMOR INC. NPI is 1710224779. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

875 S ESTRELLA PKWY UNIT 6573
GOODYEAR, AZ
ZIP 85338-563
Phone: (480) 370-0227
Fax: (505) 814-5740

The provider's authorized official is Robert Grant Gates .
The authorized official title is President and has the following contact phone number (480) 370-0227.

The enumeration date for this NPI number is 1/10/2013 and was last updated on 12/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0083441	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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