Organization
LIFELINE PROFESSIONAL COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DELORENZO (CFO)
(480) 641-1165
Entity
Organization
Contact information
Practice address
10320 W MCDOWELL RD STE 7022, AVONDALE, AZ 85392-4871
(480) 641-1165
(480) 641-9026
Mailing address
335 N ALMA SCHOOL RD STE E, CHANDLER, AZ 85224-4363
(480) 203-6130
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
05/27/2020
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