Organization
ALL OF LIFE BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY THORNTON (MEMBER-MANAGER)
(480) 235-1680
Entity
Organization
Contact information
Practice address
1204 E SECRETARIAT DR, TEMPE, AZ 85284-1612
(480) 235-1680
Mailing address
1204 E SECRETARIAT DR, TEMPE, AZ 85284-1612
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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