Organization
LIFE N LOVE WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA FARRAKHAN (CEO)
(480) 594-3570
Entity
Organization
Contact information
Practice address
4801 S LAKESHORE DR STE 101, TEMPE, AZ 85282-7156
(480) 594-3570
Mailing address
4050 E COTTON CENTER BLVD STE 77, PHOENIX, AZ 85040-8865
(480) 594-3570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
—
—
133N00000X
Nutritionist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
05/29/2025
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