LIFE CHOICES PROFESSIONAL GROUP, LLC (NPI# 1558796482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558796482 |
| Entity Type | Organization |
| Organization Name | LIFE CHOICES PROFESSIONAL GROUP, LLC |
| Practice Address |
810 N 6th Ave Phoenix AZ 85003-1318 |
| Practice Telephone | 6024621115 |
| Practice Fax Number | 6024621119 |
| Mailing Telephone | 6024621115 |
| Mailing Fax Number | 6024621119 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |
| Authorized Official Name | DR. ANDREA S WADDELL-PRATT (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 6024621115 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 3384 | AZ | Agencies |
| Street Address |
810 N 6TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767790 | Andrea Shunette Waddell-pratt | Psychologist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2005-06-01 |
| 1013470251 | Kimberly Turille | Counselor | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2019-04-12 |
| 1669930855 | Andrew Maurer | Marriage & Family Therapist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2019-03-06 |
| 1407361090 | Shadi May Boudreau | Counselor | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2017-12-05 |
| 1942714613 | The Phoenix Counseling Collective | Counselor | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2017-11-16 |
| 1407398100 | Gina Michelle Lang | Psychologist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2016-11-11 |
| 1194102582 | Spane Counseling | Counselor | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2015-05-05 |
| 1811228752 | Shalene Michele Kirkley | Psychologist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2010-01-15 |
| 1083853147 | Wooten & Associates, Plc | Psychologist | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2009-02-13 |
| 1629277124 | Andrea Waddell-pratt, Phd, PC | Community/Behavioral Health | 810 N 6th Ave, Phoenix, AZ 85003-1318 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| 1043827561 | Crossroads, Inc | Community/Behavioral Health | 2002 E Osborn Rd, Phoenix, AZ 85016-7236 | 2020-09-29 |
| 1043827025 | Guiding Steps Health Services, LLC | Community/Behavioral Health | 4926 E Mcdowell Rd, Phoenix, AZ 85008-4294 | 2020-09-24 |
| 1154931566 | Apex Transitional Housing Inc | Community/Behavioral Health | 13827 N 11th St, Phoenix, AZ 85022-4316 | 2020-08-01 |
| 1356959126 | Rock House Az, LLC | Community/Behavioral Health | 8650 N 35th Ave Ste 110, Phoenix, AZ 85051-3835 | 2020-07-17 |
| 1215554902 | Lydia Barton | Community/Behavioral Health | 1420 W Missouri Ave, Phoenix, AZ 85013-1919 | 2020-06-29 |
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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.