Organization
AZ LIFE OPTIONS CHILD AND ADULT SERVICES LLC
Active
Other names
New Beginnings Counseling Service
Organization subpart
No
Provider details
NPI number
Authorized official
TARIN GRIFFIN LMFT (LICENSED MEDICAL THERPIST)
(858) 531-1564
Entity
Organization
Contact information
Practice address
6515 E MAIN ST, MESA, AZ 85205-9012
(480) 815-3600
Mailing address
6515 E MAIN ST, MESA, AZ 85205-9012
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15281
LMFT LICENSE NUMBER
AZ
Enumeration date
01/17/2020
Last updated
01/17/2020
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