Organization
LIFEWELL BEHAVIORAL WELLNESS
Active
Organization
LIFEWELL BEHAVIORAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS K MCKELVEY (CHIEF EXECUTIVE OFFICER)
(602) 553-7300
Entity
Organization
Contact information
Practice address
650 W SOUTHERN AVE, MESA, AZ 85210-5032
(602) 553-7300
(602) 553-7303
Mailing address
2715 N 3RD ST, PHOENIX, AZ 85004-1100
(602) 553-7300
(602) 553-7303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH - 2935
AZ
Other
Enumeration date
10/20/2006
Last updated
05/25/2011
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