Organization Active NPI

Life N Love Wellness Inc

  • Adult Mental Health Clinic/Center
  • Tempe, AZ
National Provider Identifier
1215538806
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LIFE N LOVE WELLNESS INC
Practice address
4801 S Lakeshore Dr Ste 101
Tempe, AZ 85282-7156
Phone
(480) 594-3570
NPI assigned
Nov 2, 2020
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Joshua Farrakhan
Title
Ceo
Phone
(480) 594-3570

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Nutritionist 133N00000X NU
Behavior Technician 106S00000X NU

Addresses

Primary practice location

4801 S Lakeshore Dr Ste 101
Tempe, AZ 85282-7156

Mailing address

4050 E Cotton Center Blvd Ste 77
Phoenix, AZ 85040-8865
Phone (480) 594-3570

Other practice location 1

4050 E Cotton Center Blvd Ste 77
Phoenix, AZ 85040-8865
Phone (312) 509-0809

National Provider Directory

National Provider Directory

Locations

4050 E Cotton Center Blvd
Ste 77
Phoenix, AZ 85040
Phone (312) 509-0809

4801 S Lakeshore Dr
Ste 101
Tempe, AZ 85282
Phone (480) 594-3570

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1215538806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 E COTTON CENTER BLVD STE 77",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408865",
            "telephone_number": "480-594-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S LAKESHORE DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827156",
            "telephone_number": "480-594-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4050 E Cotton Center Blvd Ste 77",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850408865",
            "country_code": "US",
            "telephone_number": "312-509-0809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE N LOVE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "FARRAKHAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-594-3570"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.