Organization · NPI-2
All Of Life Behavioral Health PLLC
Community/Behavioral Health · Tempe, AZ
NPI number1831955764
StatusActive
Last updated in NPPESFeb 27, 2024
Details
- NPI
- 1831955764
- Entity type
- Organization (NPI-2)
- Legal business name
- All Of Life Behavioral Health PLLC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2024
- Certification date
- Feb 27, 2024
- Last updated
- Feb 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
1204 E Secretariat DrTempe, AZ 85284-1612
Phone 480-235-1680
Mailing address
1204 E Secretariat DrTempe, AZ 85284-1612
Authorized official
Anthony Thornton
Member-Manager
4802351680
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