Victorious Lifestyle LLC

Primary specialty

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

Legal business name

VICTORIOUS LIFESTYLE LLC

Practice address

10000 N 31St Ave Ste C307
Phoenix, AZ 85051-9569

Phone

(240) 397-0554

NPI assigned

Nov 9, 2022

Organization subpart

No

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

Authorized official

Name

Shareka SherrodNPI 1073221958

Title

Owner

Phone

(240) 397-0554

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shareka Sherrod

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1073221958
  NPD Authorized official

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1457069338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 E APACHE BLVD APT 2098",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE C307",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519569",
            "telephone_number": "240-397-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIOUS LIFESTYLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "SHERROD",
        "authorized_official_first_name": "SHAREKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-397-0554"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor J. Zannis, M.D., P.C.
• Victor Tseng, MD, PC
• Gabriel Victor, MD
• Sami Victor, M.D.
• Victorious Assited Living Home, LLC
• Victory Behavioral Healthcare PLLC
• Victory Collegiate Academy Corp.
• Victory Group Home LLC
• Victory Group Home LLC#2
• Victory Health Home PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, 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 Nov 9, 2022; 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.