Provider Demographics
NPI:1912187675
Name:LIFE COPING CONSULTS
Entity Type:Organization
Organization Name:LIFE COPING CONSULTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCGAREY M.A.
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, MA
Authorized Official - Phone:602-274-3492
Mailing Address - Street 1:4143 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-4731
Mailing Address - Country:US
Mailing Address - Phone:602-274-3492
Mailing Address - Fax:
Practice Address - Street 1:4143 N 10TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-4731
Practice Address - Country:US
Practice Address - Phone:602-274-3492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-10
Last Update Date:2007-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-1066101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty