Organization
PARADISE LIFESTYLE LLC
Active
Other names
Paradise Lifestyle LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA NGUYEN (OWNER)
(480) 699-9299
Entity
Organization
Contact information
Practice address
810 S ALMA SCHOOL RD STE 4, MESA, AZ 85210-1091
(480) 699-9299
Mailing address
810 S ALMA SCHOOL RD STE 4, MESA, AZ 85210-1091
(480) 699-9299
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
02/10/2023
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