Valley Life Solutions LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VALLEY LIFE SOLUTIONS LLC

Practice address

4480 W Peoria Ave Ste 106&107
Glendale, AZ 85302-2038

Phone

(480) 599-9517

Fax

(602) 860-6171

NPI assigned

Mar 6, 2024

Last updated

Mar 6, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eltayeb Sharif

Title

Vice President

Phone

(480) 599-9517

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1164289088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 W WAGONER RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081150",
            "telephone_number": "480-599-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 W PEORIA AVE STE 106&107",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022038",
            "telephone_number": "480-599-9517",
            "fax_number": "602-860-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY LIFE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "ELTAYEB",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-599-9517"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.