Life Journey Psychiatric Pllc
LBN: Life Journey Psychiatric Pllc
Life Journey Psychiatric Pllc is an health care organization with primary practice located at 3655 E. Bluebird Place , Chandler AZ 85249. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty.
Life Journey Psychiatric Pllc can be contacted via phone (480) 221-5532, or through Peterson, Lana Jeanette via phone (480) 221-5532.
Contact Information
Primary practice address
3655 E. Bluebird Place
Chandler AZ 85249
Phone: (480) 221-5532
Fax: (480) 726-3795
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN089291 | Arizona |
Profile Details
NPI number | 1609930932 |
---|---|
LBN Legal business name | Life Journey Psychiatric Pllc |
DBA Doing business as | |
Authorized official | Peterson, Lana Jeanette MSN, PSYNP |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 21st, 2006 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609930932 | NPPES |
Arizona | MEDICAID | 787757 |
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