Lifespan Behavioral Health, Llc in Mesa - Clinical
Lifespan Behavioral Health, Llc - NPI 1033229281
Lifespan Behavioral Health, Llc is a Clinical in Mesa, Arizona. Lifespan Behavioral Health, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lifespan Behavioral Health, Llc is 1033229281. The last update date is 2009-04-23.
Lifespan Behavioral Health, Llc's current location address is 1745 S Alma School Rd, Mesa, Arizona. You can contact this provider via phone number 6023244676 and fax number 4802091063. The mailing address for Lifespan Behavioral Health, Llc is 1745 S Alma School Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Lifespan Behavioral Health, Llc |
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Address | 1745 S Alma School Rd, Mesa, Arizona |
Phone Number | 6023244676 |
Fax Number | 4802091063 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PSYCHOLOGI |
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Authorized Official Name | Miller Colby Ronald |
Credentials | PSY.D. |
Telephone Number | 6026223021 |
NPI Number Detail
NPI Number | 1033229281 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2009-04-23 |
Provider Mailing Address Detail
Address | 1745 S Alma School Rd |
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City | Mesa |
State | Arizona (AZ) |
Post Code | 852103009 |
Phone Number | 6023244676 |
Fax Number | 4802091063 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 3676 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
944654 | AZ | -- | |
944654 | AZ | MERCY CARE | |
372456 | AZ | MHN | |
944654 | AZ | EVERCARE |
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What is the Lifespan Behavioral Health, Llc's unique identification number?
The Lifespan Behavioral Health, Llc has been assigned the NPI (National Provider Identifier) Number 1033229281 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Lifespan Behavioral Health, Llc?
The Lifespan Behavioral Health, Llc is situated at 1745 S Alma School Rd, in the city of Mesa, state of AZ, with the zip code 852103009.
What is Lifespan Behavioral Health, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lifespan Behavioral Health, Llc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033229281 to Lifespan Behavioral Health, Llc?
The Lifespan Behavioral Health, Llc received its 1033229281 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the Lifespan Behavioral Health, Llc's details last updated?
The information pertaining to the Lifespan Behavioral Health, Llc, including its address, specialty, and other details, was most recently updated on 2009-04-23.