# ARIZONA COUNSELING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609142421
- **Authorized official:** MS. NICOLE LEA LORE LCSW (OWNER/ THERAPIST)
- **Authorized official phone:** (480) 818-7117

## Contact information

- **Practice address:** 5418 E SKYLINE DR BLDG 1, SAN TAN VALLEY, AZ 85140-9000
- **Practice address phone:** (480) 818-7117
- **Practice address fax:** (480) 987-9252
- **Mailing address:** 270 E HUNT HWY, SUITE 16, PMB 144, SAN TAN VALLEY, AZ 85143-4962
- **Mailing address phone:** (480) 818-7117
- **Mailing address fax:** (480) 987-9252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LCSW-12587 | AZ | Yes |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 03/27/2012