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Desert Life Center Llc
Psychiatric/Mental Health Clinical Nurse Specialist in Avondale, Arizona
NPI 1962107607

Desert Life Center Llc is a Psychiatric/Mental Health Clinical Nurse Specialist based in Avondale, AZ and is specialized in Psychiatric/Mental Health. Desert Life Center Llc practices in Avondale, AZ. The NPI Number for Desert Life Center Llc is 1962107607 and holds a License No. (Arizona).

The current practice location address for Desert Life Center Llc is 1109 N Dysart Rd Ste B, Avondale, AZ and can be reached out via phone at 623-248-4397. You can also correspond with Desert Life Center Llc through the mailing address at 1109 N DYSART RD STE B, AVONDALE, AZ - 85323-1700 (mailing address contact number: ).

Location: 1109 N Dysart Rd Ste B, Avondale, AZ, 85323-1700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962107607
Provider Name
Desert Life Center Llc
Credential
Provider Entity Type
Organization
Address
1109 N Dysart Rd Ste B, Avondale, AZ, 85323-1700
Phone Number
623-248-4397
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1109 N Dysart Rd Ste B
City
Avondale
State
Arizona
Zip
85323-1700
Phone Number
623-248-4397
Fax Number
person
Provider Business Mailing Address Details
Address
1109 N Dysart Rd Ste B
City
Avondale
State
Arizona
Zip
85323-1700
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
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 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
364SP0808X
License No.
()
Definition
Definition to come...
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