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Track House Life, Llc
Adolescent and Children Mental Health Clinic/Center in Phoenix, Arizona
NPI 1447302914

Track House Life, Llc is an Adolescent and Children Mental Health Clinic/Center based in Phoenix, AZ and is specialized in Adolescent and Children Mental Health. Track House Life, Llc practices in Phoenix, AZ. The NPI Number for Track House Life, Llc is 1447302914 and holds a License No. (Arizona).

The current practice location address for Track House Life, Llc is 4205 N 7Th Ave Ste 307, Phoenix, AZ and can be reached out via phone at 602-522-2595 and via fax at 602-258-4996.

Location: 4205 N 7Th Ave Ste 307, Phoenix, AZ, 85013-3080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447302914
Provider Name
Track House Life, Llc
Credential
Provider Entity Type
Organization
Address
4205 N 7Th Ave Ste 307, Phoenix, AZ, 85013-3080
Phone Number
602-522-2595
Fax Number
602-258-4996
Provider Enumeration Date
01/17/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4205 N 7Th Ave Ste 307
City
Phoenix
State
Arizona
Zip
85013
Phone Number
602-522-2595
Fax Number
602-258-4996
person
Provider Business Mailing Address Details
Address
4205 N 7Th Ave Ste 307
City
Phoenix
State
Arizona
Zip
85013
Phone Number
602-522-2595
Fax Number
602-258-4996
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
CLSG7622 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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