LIFESTREAM COUNSELING LLC - NPI 1083437297

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Lifestream Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESTREAM COUNSELING LLC (NPI 1083437297) is a healthcare organization registered as a mental health in Mesa, Arizona and active in the NPI registry since November 2024. The organization lists Thomas Ruderstaller, Owner, as its authorized official.

NPPES Registry Identity

NPI1083437297

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameLIFESTREAM COUNSELING LLC

Location Address4140 E BASELINE RD STE 101Mesa, AZ 85206-4413

Mailing Address4140 E Baseline Rd Ste 101Mesa, AZ 85206-4413 · (480) 294-0360

Phone(480) 294-0360

Organization SubpartNo

Authorized OfficialThomas RuderstallerOwner · (480) 294-0360

Enumeration DateNovember 5, 2024

NPPES CertifiedNovember 5, 2024

✔ NPI 1083437297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

4140 E BASELINE RD STE 101, Mesa, AZ 85206

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP