| Lifetouch Homes Llc | |
|
9127 W Glenrosa Ave Phoenix AZ 85037-0812 | |
| (952) 564-1263 | |
| Not Available |
| Full Name | Lifetouch Homes Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9127 W Glenrosa Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Emily Lagat (OWNER) |
| Authorized Official Contact | 9525641263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetouch Homes Llc 9127 W Glenrosa Ave Phoenix AZ 85037-0812 Ph: () - | Lifetouch Homes Llc 9127 W Glenrosa Ave Phoenix AZ 85037-0812 Ph: (952) 564-1263 |
| NPI Number | 1790412906 |
|---|---|
| Provider Enumeration Date | 08/07/2022 |
| Last Update Date | 08/07/2022 |
| Certification Date | 08/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790412906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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