Track House Life, Llc in Phoenix - Clinical
Track House Life, Llc - NPI 1447302914
Track House Life, Llc is a Clinical in Phoenix, Arizona. Track House Life, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Track House Life, Llc is 1447302914. The last update date is 2018-06-19.
Track House Life, Llc's current location address is 4205 N 7th Ave Ste 307, Phoenix, Arizona. You can contact this provider via phone number 6025222595 and fax number 6022584996. The mailing address for Track House Life, Llc is 4205 N 7th Ave Ste 307, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Track House Life, Llc |
|---|---|
| Address | 4205 N 7th Ave Ste 307, Phoenix, Arizona |
| Phone Number | 6025222595 |
| Fax Number | 6022584996 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Roberson Angela |
| Credentials | LCSW |
| Telephone Number | 6025222595 |
NPI Number Detail
| NPI Number | 1447302914 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2018-06-19 |
Provider Mailing Address Detail
| Address | 4205 N 7th Ave Ste 307 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850133080 |
| Phone Number | 6025222595 |
| Fax Number | 6022584996 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Track House Life, Llc?
The Track House Life, Llc has been issued the NPI (National Provider Identifier) 1447302914 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Track House Life, Llc is physically located?
The Track House Life, Llc is physically situated at the following address: 4205 N 7Th Ave Ste 307, Phoenix, AZ, 850133080.
What is Track House Life, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Track House Life, Llc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Track House Life, Llc receive its 1447302914 assignment from the Centers for Medicare & Medicaid Services?
The Track House Life, Llc was assigned its 1447302914 by the Centers for Medicare & Medicaid Services on 2007-01-17.
As of what date were the details pertaining to Track House Life, Llc last refreshed?
The information related to the Track House Life, Llc, including its address, specialty, and other relevant details, was last updated on 2018-06-19.