Organization
LIFELINE PROFESSIONAL COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DELORENZO (CAO CFO)
(480) 641-1165
Entity
Organization
Contact information
Practice address
4515 S MCCLINTOCK DR STE 114, TEMPE, AZ 85282-7381
(480) 641-1165
Mailing address
335 N ALMA SCHOOL RD STE E, CHANDLER, AZ 85224-4363
(480) 641-1165
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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