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Organization

NEW PHASE OF LIFE TREATMENT CENTER PLLC

Active
Other names
Self
Organization subpart
No

Provider details

NPI number
Authorized official
MACELINE EKU CHECK PMHNP (PROVIDER)
(281) 475-0073
Entity
Organization

Contact information

Practice address
8220 W FOREST GROVE AVE, PHOENIX, AZ 85043-1526
(281) 475-0073
Mailing address
29815 N LEGENDS CHASE CIR, SPRING, TX 77386-2049
(281) 475-0073

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
05/29/2023
Last updated
09/11/2025
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