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Organization
LEADING LADIES TO LIVE
Active
Organization
LEADING LADIES TO LIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARNIECIA TUCKER (CEO)
(520) 261-8559
Entity
Organization
Contact information
Practice address
64 E BROADWAY RD STE 200, TEMPE, AZ 85282-1377
(480) 372-4365
Mailing address
64 E BROADWAY RD STE 200, TEMPE, AZ 85282-1377
(480) 372-4365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
03/08/2024
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