Circle of Life Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC12028 Issued in AZ

Legal business name

CIRCLE OF LIFE COUNSELING, PLLC

Practice address

4121 E Valley Auto Dr
Suite 122
Mesa, AZ 85206-4631

Phone

(602) 410-3406

Fax

(480) 636-8440

NPI assigned

Jan 23, 2008

Organization subpart

No

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

Authorized official

Name

Thomas White, L.P.C.

Title

Statutory Agent

Phone

(602) 420-3406

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1467639302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 N COOPER RD",
            "address_2": "SUITE 105-443",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331237",
            "telephone_number": "602-410-3406",
            "fax_number": "480-636-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 E VALLEY AUTO DR",
            "address_2": "SUITE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064631",
            "telephone_number": "602-410-3406",
            "fax_number": "480-636-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "STATUTORY AGENT",
        "authorized_official_telephone_number": "602-420-3406",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC12028",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW10380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Inez Cintron
• Marie Mendoza Cipollo, DC
• Circle of Hearts Counseling, PLLC
• Circle of Hope Behavior Services
• Circle of Hope LLC
• Circle the City
• Elizabeth Cirpili, PHARMD
• John Cismas, DMD
• Citrus Valley Dental Care, LLC
• Citrus Villa Mesa Assisted Living LLC

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.