NPIMap

Organization Active NPI

Center for Life Skills Development LLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1366828725
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC6315 Issued in AZ
Legal business name
CENTER FOR LIFE SKILLS DEVELOPMENT LLC
Practice address
2001 W. Orange Grove Road, Suite 604
Tucson, AZ 85704
Phone
(520) 904-9701
Fax
(520) 544-3033
NPI assigned
Aug 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Roberta Ann Lewusz, L.P.C.
Title
Ceo/Co-Owner
Phone
(520) 904-9701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC6315 AZ Primary

Addresses

Primary practice location

2001 W. Orange Grove Road, Suite 604
Tucson, AZ 85704

Mailing address

2001 W Orange Grove Rd Ste 612
Tucson, AZ 85704-1141
Phone (520) 904-9701

National Provider Directory

National Provider Directory
Tax ID family
Center for Life Skills Development4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2001 W Orange Grove Rd
Ste 612
Tucson, AZ 85704
Phone (520) 229-6220

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1366828725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W ORANGE GROVE RD STE 612",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041141",
            "telephone_number": "520-904-9701",
            "fax_number": "520-544-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W. ORANGE GROVE ROAD, SUITE 604",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-904-9701",
            "fax_number": "520-544-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR LIFE SKILLS DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "LEWUSZ",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/CO-OWNER",
        "authorized_official_telephone_number": "520-904-9701",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC6315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.