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Organization

LIFELINE PROFESSIONAL COUNSELING SERVICES, INC

Active
Parent organization
LIFELINE PROFESSIONAL COUNSELING SERVICES, INC
Other names
Lifeline East
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFELINE PROFESSIONAL COUNSELING SERVICES, INC
Authorized official
JOHN DELORENZO (CFO)
(480) 641-1165
Entity
Organization

Contact information

Practice address
1423 S HIGLEY RD STE 103, MESA, AZ 85206-3449
(480) 641-1165
(480) 641-9026
Mailing address
335 N ALMA SCHOOL RD STE E, CHANDLER, AZ 85224-4363
(480) 641-1165
(480) 641-9026

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
03/21/2019
Last updated
05/27/2020
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