Organization
SPIRITUS HEALTH, INC.
Active
Other names
Lifeologie Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ELLY RAEL MA (OWNER)
(480) 688-0678
Entity
Organization
Contact information
Practice address
2111 E PECOS RD STE 2, CHANDLER, AZ 85225-6072
(480) 847-1377
Mailing address
1961 E INDIAN WELLS DR, GILBERT, AZ 85298-9776
(480) 688-0678
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
11/16/2023
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