LIFELINE PROFESSIONAL COUNSELING SERVICES INC NPI 1720580038

NPI Information

NPI: 1720580038
Provider Name: LIFELINE PROFESSIONAL COUNSELING SERVICES, INC

Doing Business As: LIFELINE WEST

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
17235 N 75TH AVE SUITE F-100
GLENDALE, AZ
ZIP 85308
Phone: (480) 641-1165
Get Directions

LIFELINE PROFESSIONAL COUNSELING SERVICES, INC is a mental health (including community mental health center) clinic center in Glendale, AZ. LIFELINE PROFESSIONAL COUNSELING SERVICES, INC NPI is 1720580038. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifeline West.

The provider's business location address is:

17235 N 75TH AVE SUITE F-100
GLENDALE, AZ
ZIP 85308
Phone: (480) 641-1165

The provider's authorized official is John Delorenzo .
The authorized official title is Administrative Director and has the following contact phone number (480) 641-1165.

The enumeration date for this NPI number is 3/2/2018 and was last updated on 5/27/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	BH4970	ARIZONA	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: 5/5/2024

NPI Synchronization or Removal

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