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LIFELINE PROFESSIONAL COUNSELING SERVICES INC NPI 1235562463


NPI Information

NPI: 1235562463
Provider Name: LIFELINE PROFESSIONAL COUNSELING SERVICES, INC

Former Legal Business Name: ALPHA OMEGA PCCS, LLC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 03D2141193

Address:
5040 E SHEA BLVD
#164
SCOTTSDALE, AZ
ZIP 85254
Phone: (480) 203-8414
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LIFELINE PROFESSIONAL COUNSELING SERVICES, INC is a community behavioral health in Scottsdale, AZ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LIFELINE PROFESSIONAL COUNSELING SERVICES, INC NPI is 1235562463. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Alpha Omega Pccs, Llc.

The provider's business location address is:

5040 E SHEA BLVD
#164
SCOTTSDALE, AZ
ZIP 85254-600
Phone: (480) 203-8414

The provider's authorized official is Roxanne Dalpos .
The authorized official title is Clinical Director and has the following contact phone number (480) 203-8414.

The CLIA number assigned to this NPI record is 03D2141193 - other - otc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2013 and was last updated on 9/4/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthLPC13318ARIZONAYes

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

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