Lifeline Pcs -southeast - Mental Health Clinic in Mesa, AZ

Lifeline Pcs -southeast is a mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Mesa, Arizona. The current practice location for Lifeline Pcs -southeast is 7565 E Eagle Crest Dr Ste 101, Mesa, Arizona. For appointments, you can reach them via phone at (480) 641-1165. The mailing address for Lifeline Pcs -southeast is 335 N Alma School Rd Ste E, Chandler, Arizona and phone number is (817) 965-5908.

Lifeline Pcs -southeast is licensed to practice in * (Not Available) (license number ) and its NPI number is 1023726866. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (480) 641-1165.

Contact Information

Lifeline Pcs -southeast
7565 E Eagle Crest Dr Ste 101
Mesa
AZ 85207-1041
(480) 641-1165
(480) 641-9026

Mental Health Clinic Profile

Full NameLifeline Pcs -southeast
SpecialityClinic/center - Mental Health (including Community Mental Health Center)
Location7565 E Eagle Crest Dr Ste 101, Mesa, Arizona
Authorized Official Name and PositionRoxanne Dalpos (PRESIDENT)
Authorized Official Contact4802038414
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lifeline Pcs -southeast
335 N Alma School Rd Ste E
Chandler
AZ 85224-4363

Ph: (817) 965-5908
Lifeline Pcs -southeast
7565 E Eagle Crest Dr Ste 101
Mesa
AZ 85207-1041

Ph: (480) 641-1165

NPI Details:

NPI Number1023726866
Provider Enumeration Date11/10/2022
Last Update Date11/16/2022
Certification Date11/16/2022

Medical Identifiers

Medical identifiers for Lifeline Pcs -southeast such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023726866NPI-NPPES
BH8238MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

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