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Organization

LIFELINE PROFESSIONAL COUNSELING SERVICES, INC

Active
Other names
Lifeline West
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN DELORENZO (ADMINISTRATIVE DIRECTOR)
(480) 641-1165
Entity
Organization

Contact information

Practice address
17235 N 75TH AVE SUITE F-100, GLENDALE, AZ 85308
(480) 641-1165
Mailing address
17235 N 75TH AVE STE F100, GLENDALE, AZ 85308-0871
(480) 641-1165

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH4970
AZ

Other

Enumeration date
03/02/2018
Last updated
05/27/2020
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