Track House Life, Llc

LBN: Track House Life, Llc
Track House Life, Llc is an health care organization with primary practice located at 4205 N 7Th Ave Ste 307 , Phoenix AZ 85013. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Track House Life, Llc can be contacted via phone (602) 522-2595, or through Roberson, Angela via phone (602) 522-2595.

Contact Information

Primary practice address
4205 N 7Th Ave Ste 307 Phoenix AZ 85013
Phone: (602) 522-2595
Fax: (602) 258-4996
Website:
Map and Directions
Authorized official contact:
Name: Roberson, Angela Licensed Clinical Social Worker (LCSW)
Phone: (602) 522-2595

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X CLSG7622 Arizona
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1447302914
LBN Legal business name Track House Life, Llc
DBA Doing business as
Authorized official Roberson, Angela Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Jun 19th, 2018 - about 7 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.

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