Organization · Type 2 NPI

Victorious Lifestyle LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Phoenix, AZ

NPI number 1457069338 Active

Practice location

10000 N 31st Ave Ste C307
Phoenix, AZ 85051-9569

Mailing address

1831 E Apache Blvd Apt 2098
Tempe, AZ 85281-6682

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1457069338

Victorious Lifestyle LLC's National Provider Identifier is 1457069338, issued on Nov 9, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 9, 2022.