CIRCLE OF LIFE COUNSELING, PLLC (NPI# 1467639302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467639302 |
| Entity Type | Organization |
| Organization Name | CIRCLE OF LIFE COUNSELING, PLLC |
| Practice Address |
4121 E Valley Auto Dr Suite 122 Mesa AZ 85206-4631 |
| Mailing Address |
1474 N Cooper Rd Suite 105-443 Gilbert AZ 85233-1237 |
| Practice Telephone | 6024103406 |
| Practice Fax Number | 4806368440 |
| Mailing Telephone | 6024103406 |
| Mailing Fax Number | 4806368440 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | THOMAS WHITE (STATUTORY AGENT) |
| Authorized Official Telephone | 6024203406 |
| Authorized Official Credential | L.P.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW10380 | AZ | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC12028 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
4121 E VALLEY AUTO DR SUITE 122 |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275591109 | Michael D Crismon | Chiropractor | 4121 E Valley Auto Dr, 110, Mesa, AZ 85206-4631 | 2006-05-02 |
| 1457999369 | Hopebridge LLC | Behavioral Analyst | 4121 E Valley Auto Dr, Mesa, AZ 85206-4631 | 2019-12-11 |
| 1114389459 | Ellsworth Foot and Ankle Pllc | Podiatrist | 4121 E Valley Auto Dr, #110, Mesa, AZ 85206-4631 | 2016-03-25 |
| 1801205331 | Advanced Family Healthcare Pllc | Family Medicine | 4121 E Valley Auto Dr, Suite # 110, Mesa, AZ 85206-4631 | 2014-08-08 |
| 1063751196 | Lisa J Daughters | Counselor | 4121 E Valley Auto Dr, Suite 122, Mesa, AZ 85206-4631 | 2013-02-08 |
| 1528355708 | David T Ellsworth | Podiatrist | 4121 E Valley Auto Dr, Ste 110, Mesa, AZ 85206-4632 | 2011-07-07 |
| 1184845380 | Cathyann M Hersom | Counselor | 4121 E Valley Auto Dr, Suite 122, Mesa, AZ 85206-4631 | 2007-05-02 |
| 1922020858 | Advanced Spine and Rehab PC | Chiropractor | 4121 E Valley Auto Dr, # 110, Mesa, AZ 85206-4631 | 2006-07-23 |
| 1912943903 | Northlight Counseling Associates Inc | Counselor | 4121 E Valley Auto Dr, Suite 122, Mesa, AZ 85206-4631 | 2006-06-20 |
| 1831134550 | Blue Streak Investments LLC | Chiropractor | 4121 E Valley Auto Dr, Suite 110, Mesa, AZ 85206-4631 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496054 | Ryse Therapeutic Counseling LLC | Counselor | 461 W Holmes Ave Unit 181, Mesa, AZ 85210-5181 | 2020-10-27 |
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1467060350 | Torch Wellness and Consulting LLC | Counselor | 3707 E Southern Ave Ste 1029, Mesa, AZ 85206-6202 | 2020-07-16 |
| 1750904736 | Colin Bennett | Counselor | 1234 S Power Rd Ste 100, Mesa, AZ 85206-3740 | 2020-05-25 |
| 1386267508 | Devyn H Davis | Counselor | 30 E Brown Rd Unit 1054, Mesa, AZ 85201-3527 | 2020-05-21 |
| 1376165266 | Therapy LLC | Counselor | 1818 E Southern Ave Ste 3a, Mesa, AZ 85204-5247 | 2020-05-13 |
| 1902432107 | Connie Rae Parker | Counselor | 1955 S Val Vista Dr, Mesa, AZ 85204-7370 | 2020-03-19 |
| 1265065544 | Phillip Micheal Garrison | Counselor | 1741 S Clearview Ave Unit 7, Mesa, AZ 85209-4005 | 2020-02-14 |
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1053951913 | Candace Delight Cook | Counselor | 3707 E Southern Ave Ste 2016, Mesa, AZ 85206-6213 | 2020-01-08 |
| 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.