LIFELINE PROFESSIONAL COUNSELING SERVICES, INC


Address: 17235 N 75th Ave Suite F-100, Glendale, AZ 85308
Phone: 4806411165

LIFELINE PROFESSIONAL COUNSELING SERVICES, INC (NPI# 1720580038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720580038
Entity Type Organization
Organization Name LIFELINE PROFESSIONAL COUNSELING SERVICES, INC
Other Organization Name LIFELINE WEST
Practice Address 17235 N 75th Ave Suite F-100
Glendale
AZ 85308
Mailing Address 17235 N 75th Ave Ste F100
Glendale
AZ 85308-0871
Practice Telephone 4806411165
Mailing Telephone 4806411165
Enumeration Date 2018-03-02
Last Update Date 2020-05-27
Authorized Official Name JOHN DELORENZO (ADMINISTRATIVE DIRECTOR)
Authorized Official Telephone 4806411165
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
BH4970 AZ Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Lifeline West Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194285643 Lifeline Professional Counseling Services, Inc Clinic/Center 1423 S Higley Rd Ste 103, Mesa, AZ 85206-3449 2019-03-21
1497229314 Lifeline Professional Counseling Services, Inc Clinic/Center 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392-4871 2019-01-14
1508368986 Lifeline Professional Counseling Services, Inc Clinic/Center 4515 S Mcclintock Dr Ste 114, Tempe, AZ 85282-7381 2018-03-01
1285823377 Lifeline Professional Counseling Services, Inc Counselor 335 N. Alma School Rd, Ste E, Chandler, AZ 85224 2007-10-15
1235562463 Lifeline Professional Counseling Services, Inc Community/Behavioral Health 5040 E Shea Blvd, #164, Scottsdale, AZ 85254-4600 2013-08-12

Office Location

Street Address 17235 N 75TH AVE SUITE F-100
City GLENDALE
State AZ
Zip Code 85308

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972102572 Inspire Wellness and Pelvic Health Clinic/Center 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 2020-10-23
1669081709 Michelle Yoakim Student in an Organized Health Care Education/Training Program 19555 N 59th Avenuue, Glendale, AZ 85308 2020-07-24
1033742291 Kaitlyn Marie Shannon Dietitian, Registered 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 2020-02-17
1295377687 Serenity Preserved Counseling Pllc Counselor 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 2019-10-17
1013567023 Caitlyn Heredia Student in an Organized Health Care Education/Training Program 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 2019-09-12
1770141061 Sydney Dangelo Student in an Organized Health Care Education/Training Program 7454 W Denaro Dr, Glendale, AZ 85308 2019-05-31
1023585742 Center for Couples Therapy, Pllc Counselor 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 2018-10-31
1831678341 Ayat Mahdi Obeidi Dentist 19420 N 59th Ave Ste D400, Glendale, AZ 85308 2018-08-07
1003318585 Danna Mavis Constance Moisii Physician Assistant 18301 N. 79th Ave #g190, Glendale, AZ 85308 2018-03-01
1760901375 Western Medical LLC Internal Medicine 21554 N 57th Ave, Glendale, AZ 85308 2017-09-14
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083232904 Free To Be Counseling Clinic/Center 4750 E Cherry Creek South Dr Apt G206, Glendale, CO 80246-1837 2020-07-07
1649896754 Clear Path Behavioral Health Services LLC Clinic/Center 8768 W Gardenia Ave, Glendale, AZ 85305-6965 2020-06-24
1013542778 Enhance Counseling & Wellness LLC Clinic/Center 17431 N 71st Dr Ste 101, Glendale, AZ 85308-8598 2020-03-03
1710453394 Terros Inc Clinic/Center 6151-6153 W. Olive Ave, Glendale, AZ 85302-4564 2018-10-22
1174728646 Terros Inc Clinic/Center 6151-6153 W Olive Ave, Glendale, AZ 85302-4598 2007-06-15
1730793449 Glendale Counseling Services Clinic/Center 100 N Brand Blvd Ste 412, Glendale, CA 91203-2614 2020-09-01
1457918526 Growth Space, Pllc Clinic/Center 19201 N 45th Dr, Glendale, AZ 85308-5415 2019-05-23
1649748450 Extraordinary You/dr. Agnes Oh Clinic/Center 1010 N Central Ave # 315, Glendale, CA 91202-2937 2018-11-09
1669953287 Michael Forbes Warden Phd Pllc Clinic/Center 7155 W Campo Bello Dr Ste C120, Glendale, AZ 85308-8594 2018-08-22
1194225417 Wellness Connections Counseling, Pllc Clinic/Center 4340 E Kentucky Ave Ste 365, Glendale, CO 80246-2075 2018-02-13
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Competitor

Search similar providers

City GLENDALE
Zip Code 85308

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Dataset Information

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.

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