UPLIFTING LIVES CLINIC OF ARIZONA, LLC (NPI# 1841683943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841683943 |
| Entity Type | Organization |
| Organization Name | UPLIFTING LIVES CLINIC OF ARIZONA, LLC |
| Practice Address |
5150 N 99th Ave Apt. 1097 Glendale AZ 85305-3001 |
| Practice Telephone | 6026706077 |
| Mailing Telephone | 6026706077 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |
| Authorized Official Name | MS. SHANNON CAROLYN PHILLIPS (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6026706077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
5150 N 99TH AVE APT. 1097 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85305-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368025 | Adam Stanley | Specialist/Technologist | 8769 West Northview Avenue, Glendale, AZ 85305 | 2020-02-20 |
| 1194216200 | Brandon Dawson | Dentist | 9455 W Glendale Ave, Glendale, AZ 85305 | 2018-05-24 |
| 1073030532 | Akdhc Surgery Center, LLC | Internal Medicine | 6622 N 91st Avenue, Suite 100, Glendale, AZ 85305 | 2017-08-25 |
| 1447772835 | Trekfit LLC | Dietitian, Registered | 9033 West State Avenue, Glendale, AZ 85305 | 2017-07-07 |
| 1194255885 | Akdhc,llc | Internal Medicine | 6622 N 91st Ave, Suite 200, Glendale, AZ 85305 | 2017-06-14 |
| 1124334933 | Marlana Angela Morrow | Pharmacist | 8990 W. Glendale Ave., Glendale, AZ 85305 | 2010-08-31 |
| 1750444261 | Norma Euyenia Quintero | Technician | 8950 W Sierra Vista, Glendale, AZ 85305 | 2006-12-18 |
| 1093232514 | O'lua Therapy LLC | Occupational Therapy Assistant | 9524 W Camelback Rd, Ste. C-130 Pmb 232, Glendale, AZ 85305 | 2017-08-25 |
| 1427325273 | Modern Dental Professionals-arizona PC | Dentist | 9230 W Northern Ave, 106, Glendale, AZ 85305-1100 | 2011-11-22 |
| 1134142409 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 9350 W Northern Ave, Glendale, AZ 85305-1103 | 2006-07-26 |
| Find all providers in zip 85305 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1548808405 | Mcgady & Associates Psychological Services Plc | Clinic/Center | 4425 W Olive Ave Ste 151a, Glendale, AZ 85302-3843 | 2019-12-11 |
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| 1043307598 | Medical Psychology Associates, Inc. | Clinic/Center | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2006-10-06 |
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| 1073171153 | Heart Song Wellness LLC | Clinic/Center | 8617 W Union Hills Dr Ste 100, Peoria, AZ 85382-7001 | 2019-06-03 |
| 1659936680 | Sedona Family Counseling | Clinic/Center | 130 Castle Rock Rd Unit 65, Sedona, AZ 86351-8876 | 2019-05-06 |
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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.