Lifegate Health Services LLC

Primary specialty

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

Legal business name

LIFEGATE HEALTH SERVICES LLC

Practice address

15453 W Madison St
Goodyear, AZ 85338-3397

Phone

(602) 419-4970

NPI assigned

Mar 11, 2024

Last updated

Mar 11, 2024By 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

Regina Mensah, RN, MSN

Title

Owner

Phone

(623) 419-4970

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1720846041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17148 W BUCHANAN ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381285",
            "telephone_number": "602-419-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15453 W MADISON ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383397",
            "telephone_number": "602-419-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEGATE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "MENSAH",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-419-4970",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter J Lewis, M.D.
• Michelle L Liacone
• Feng Liao, MD
• Aliena Janet Liaw
• Lori Kay Liberator, FNP
• Lifemor Inc.
• Lifewin Homes LLC
• Light-Ride Inc. (Lightride)
• Clayton Lillywhite, DPT
• Miao Lin, MS, RD, CSR

• Mental Health Clinic/Center (Including Community Mental Health Center) in Goodyear, AZ
• Providers in Goodyear, 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 Mar 11, 2024; 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.