| Light Of Life Counseling Services Llc | |
|
1300 N Miller Rd Buckeye AZ 85326-1000 | |
| (623) 628-8788 | |
| (623) 466-6127 |
| Full Name | Light Of Life Counseling Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1300 N Miller Rd, Buckeye, Arizona |
| Authorized Official Name and Position | Ulises Gonzalez (OWNER/PRESIDENT) |
| Authorized Official Contact | 6236288788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Of Life Counseling Services Llc Po Box 1291 Buckeye AZ 85326-0095 Ph: (623) 628-8788 | Light Of Life Counseling Services Llc 1300 N Miller Rd Buckeye AZ 85326-1000 Ph: (623) 628-8788 |
| NPI Number | 1861931826 |
|---|---|
| Provider Enumeration Date | 02/22/2017 |
| Last Update Date | 02/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861931826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arizona) | Primary |
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