AZ LIFE OPTIONS CHILD AND ADULT SERVICES LLC (NPI# 1235769282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235769282 |
| Entity Type | Organization |
| Organization Name | AZ LIFE OPTIONS CHILD AND ADULT SERVICES LLC |
| Practice Address |
6515 E Main St Mesa AZ 85205-9012 |
| Practice Telephone | 4808153600 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | TARIN GRIFFIN (LICENSED MEDICAL THERPIST) |
| Authorized Official Telephone | 8585311564 |
| Authorized Official Credential | LMFT |
| 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LMFT LICENSE NUMBER | 15281 | 01 |
| Other Name | Type Code |
|---|---|
| New Beginnings Counseling Service | Doing Business As Name - Organization |
| Street Address |
6515 E MAIN ST |
| City | MESA |
| State | AZ |
| Zip Code | 85205-9012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1215544903 | Supreme Positive Innovation Services LLC | Clinic/Center | 1833 W Main St Ste 139-140, Mesa, AZ 85201-6922 | 2020-09-26 |
| 1316554421 | Essential Wellness Solutions LLC | Clinic/Center | 345 N 79th Pl, Mesa, AZ 85207-7570 | 2020-09-23 |
| 1730798562 | Healthier Ever After LLC | Clinic/Center | 65 S Sycamore Ste 2, Mesa, AZ 85202-1143 | 2020-07-28 |
| 1205467974 | Betherapy Counseling, LLC | Clinic/Center | 1845 S Dobson Rd Ste 213, Mesa, AZ 85202-5663 | 2020-01-30 |
| 1336785518 | Sun Valley Recovery | Clinic/Center | 2600 E Southern Ave Ste I-3, Mesa, AZ 85204-5413 | 2019-11-21 |
| 1194285643 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 1423 S Higley Rd Ste 103, Mesa, AZ 85206-3449 | 2019-03-21 |
| 1609334812 | Just 1 Life Services LLC | Clinic/Center | 1616 E Main St Ste 207a.1, Mesa, AZ 85203-9071 | 2019-03-06 |
| 1558682914 | Southwest Behavioral Health Services, Inc. | Clinic/Center | 653 W Guadalupe Rd Unit 1018, Mesa, AZ 85210-7772 | 2010-06-18 |
| 1154954113 | Babbitt Bowers Behavioral Health Services. LLC | Clinic/Center | 605 N Gilbert Rd, Mesa, AZ 85203-6629 | 2020-02-18 |
| 1720555030 | Terros Inc | Clinic/Center | 1111 S Stapley Dr, Mesa, AZ 85204-5059 | 2018-10-25 |
| Find all providers in MESA | ||||
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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.