CENTER FOR LIFE SKILLS DEVELOPMENT, LLC (NPI# 1144502162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144502162 |
| Entity Type | Organization |
| Organization Name | CENTER FOR LIFE SKILLS DEVELOPMENT, LLC |
| Practice Address |
1625 N Alvernon Way Tucson AZ 85712-3369 |
| Mailing Address |
2001 W. Orange Grove Road, Suite 612 Tucson AZ 85704 |
| Practice Telephone | 5205461642 |
| Practice Fax Number | 5203250436 |
| Mailing Telephone | 5205461642 |
| Mailing Fax Number | 5203250436 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2016-05-31 |
| Authorized Official Name | MRS. ROBERTA ANN LEWUSZ (CEO/CO-OWNER) |
| Authorized Official Telephone | 5209049701 |
| Authorized Official Credential | M.C.,L.P.C. |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR LIFE SKILLS DEVELOPMENT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | BH3833 | AZ | Agencies |
| Y | 101YP2500X |
Counselor Specialization: Professional |
BH3833 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134281504 | Center for Life Skills Development, LLC | Counselor | 2231 W Ina Rd, Tucson, AZ 85741-2650 | 2006-12-14 |
| Street Address |
1625 N ALVERNON WAY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942656434 | Jennifer Balistreri | Social Worker | 1625 N Alvernon Way, Tucson, AZ 85712-3369 | 2016-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736208 | Yovana Apodaca | Counselor | 8758 E Mountain Spring Dr, Tucson, AZ 85747-5659 | 2020-10-02 |
| 1497361786 | Patricia L Pritchett | Counselor | 8893 N Lessing Ct, Tucson, AZ 85742-4443 | 2020-09-22 |
| 1396363172 | Carly Moss | Counselor | 4625 E Broadway Blvd Ste 105, Tucson, AZ 85711-3575 | 2020-07-08 |
| 1891317665 | Chris Ledyard | Counselor | 1150 N Sonoita Ave, Tucson, AZ 85712-5169 | 2020-05-14 |
| 1437770013 | Elsa M Duarte | Counselor | 1900 W Speedway Blvd, Tucson, AZ 85745-2215 | 2020-05-05 |
| 1679194898 | Kelly J Wilt | Counselor | 469 S Convent Ave, Tucson, AZ 85701-2261 | 2020-04-28 |
| 1598385098 | David Thomas Bradley | Counselor | 5909 E 3rd St, Tucson, AZ 85711-1522 | 2020-04-24 |
| 1689203036 | Mary C Cahilly | Counselor | 2165 N Camino Agrios, Tucson, AZ 85715-5908 | 2020-04-07 |
| 1316575418 | Gayla Lemley | Counselor | 3600 N Camino Sinuoso, Tucson, AZ 85718-7219 | 2020-04-01 |
| 1649806738 | Metamorphosis Counseling Services | Counselor | 310 S Williams Blvd Ste 235, Tucson, AZ 85711-7704 | 2020-03-20 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.