Overcoming Life Obstacles, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OVERCOMING LIFE OBSTACLES, LLC

Doing business as

Overcoming Life Obstacles

Practice address

1349 W Coral Reef Dr
Gilbert, AZ 85233-6105

Phone

(678) 790-6743

NPI assigned

Apr 16, 2021

Last updated

Apr 16, 2021By 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

Ivy Jones

Title

Credentialer

Phone

(480) 868-0465

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Overcoming Life Obstacles Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1457932865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1154",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852441154",
            "telephone_number": "678-790-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 W CORAL REEF DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852336105",
            "telephone_number": "678-790-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERCOMING LIFE OBSTACLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "480-868-0465"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT MEDICAL FACILITY",
            "identifier": "111111",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.THERAPYNOTES.COM",
            "affiliation": "N",
            "endpointDescription": "ONLINE EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1349 W Coral Reef Dr",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852336105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Overcoming Life Obstacles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.