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Organization
LIFELINE PROFESSIONAL COUNSELING SERVICES, INC
Active
Organization
LIFELINE PROFESSIONAL COUNSELING SERVICES, INC
Active
Other names
Lifeline Central
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DELORENZO (ADMINISTRATIVE DIRECTOR)
(480) 641-1165
Entity
Organization
Contact information
Practice address
4515 S MCCLINTOCK DR STE 114, TEMPE, AZ 85282-7381
(480) 641-1165
Mailing address
335 N ALMA SCHOOL RD STE E, CHANDLER, AZ 85224-4363
(480) 641-1165
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC8596
AZ
Other
Enumeration date
03/01/2018
Last updated
09/28/2020
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