Organization
DESERT LAKES COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEE SMITH CHIAGO LPC (OWNER)
(623) 313-8984
Entity
Organization
Contact information
Practice address
11542 W CORRINE DR, EL MIRAGE, AZ 85335
(623) 239-3939
(480) 542-2239
Mailing address
15411 W WADDELL RD, STE 102 PMB 1211, SURPRISE, AZ 85379
(623) 239-3939
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
11/14/2025
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