Provider Demographics
NPI:1952940330
Name:READY4LIFE BEHAVIORAL HEALTH & COUNSELING LLC
Entity Type:Organization
Organization Name:READY4LIFE BEHAVIORAL HEALTH & COUNSELING LLC
Other - Org Name:READY4LIFE BEHAVIORAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:BSBM
Authorized Official - Phone:602-677-0620
Mailing Address - Street 1:PO BOX 77
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-0077
Mailing Address - Country:US
Mailing Address - Phone:602-677-0620
Mailing Address - Fax:
Practice Address - Street 1:5621 W WINSTON DR
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-5259
Practice Address - Country:US
Practice Address - Phone:602-677-0620
Practice Address - Fax:623-691-7223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-02
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness