Organization · NPI-2

12 Steps For Christian Living

Behavior Analyst · Tempe, AZ

NPI number1396128229
StatusActive
Last updated in NPPESJul 9, 2015

Details

NPI
1396128229
Entity type
Organization (NPI-2)
Legal business name
12 Steps For Christian Living
Organization subpart
No
Enumeration date
Jul 9, 2015
Last updated
Jul 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
101Y00000X Counselor––
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––
101YP1600X Counselor, Pastoral––
101YP2500X Counselor, Professional––
102L00000X Psychoanalyst––
106H00000X Marriage & Family Therapist––

Other names

  • Christian Living Center (Other Name)

Practice location

2111 E Baseline Rd Ste C8
Tempe, AZ 85283-1521

Phone 480-831-1212

Mailing address

2111 E Baseline Rd Ste C8
Tempe, AZ 85283-1521

Phone 480-831-1212

Authorized official

Robert Leighton Stadheim
President
4808311212

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