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).
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 |
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 Name | Type Code |
---|---|
Lifeline West | Doing Business As Name - Organization |
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 |
Street Address |
17235 N 75TH AVE SUITE F-100 |
City | GLENDALE |
State | AZ |
Zip Code | 85308 |
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 |
Find all providers in zip 85308 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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 |
Find all providers in GLENDALE |
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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.