Provider Demographics
NPI:1386043073
Name:LIFE CYCLES ARIZONA
Entity Type:Organization
Organization Name:LIFE CYCLES ARIZONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SEE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LMSW
Authorized Official - Phone:520-207-2141
Mailing Address - Street 1:655 N. ALVERNON WAY
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1824
Mailing Address - Country:US
Mailing Address - Phone:520-207-2141
Mailing Address - Fax:520-232-3545
Practice Address - Street 1:655 N. ALVERNON WAY
Practice Address - Street 2:SUITE # 100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1824
Practice Address - Country:US
Practice Address - Phone:520-207-2141
Practice Address - Fax:520-232-3545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health