LIFEWELL - MITCHELL
NPI 1104111061
Community/Behavioral Health in Phoenix, AZ

Q: What is Lifewell Behavioral Wellness's NPI number?

The NPI number for Lifewell Behavioral Wellness is 1104111061. It was assigned to this organization in the NPPES registry on June 17, 2011. The provider is doing business as Lifewell - Mitchell.

Q: What is Lifewell Behavioral Wellness's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since June 17, 2011

40 E MITCHELL DR, PHOENIX, AZ 85012(602) 808-2800(602) 808-2750 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 23, 2020, Jun 15, 2016 (2 updates tracked since 2016).

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About Lifewell - Mitchell NPPES

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

LIFEWELL - MITCHELL (NPI 1104111061) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since June 2011. The organization lists Doris Vaught, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104111061

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLIFEWELL BEHAVIORAL WELLNESS

Location Address40 E MITCHELL DRPhoenix, AZ 85012-2330

Mailing Address202 E Earll Drive, Suite 200Phoenix, AZ 85012-2647 · (602) 808-2800 · Fax (602) 808-2755

Phone(602) 808-2800

Fax(602) 808-2750

Organization SubpartNo

Authorized OfficialDoris VaughtChief Executive Officer · (602) 599-5420

Enumeration DateJune 17, 2011

Last NPPES UpdateNovember 23, 20202 updates tracked since enumeration

NPPES CertifiedNovember 23, 2020

✔ NPI 1104111061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in AZ · OTC6539

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

40 E MITCHELL DR, Phoenix, AZ 85012

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Other Names 1

Doing Business AsLifewell - Mitchell

Other Identifiers 1

Medicaid617175AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TINA LORENE JENSEN BS, BHT

Case Manager/Care Coordinator

40 E MITCHELL DR, SUITE 100 & 200
PHOENIX, AZ 85012

Maricopa County (602) 599-5431

ROGER M MAYORGA APN

Nurse Practitioner (Psychiatric/Mental Health)

40 E MITCHELL DR, SUITE 100 & 200
PHOENIX, AZ 85012

Maricopa County (602) 808-5800

MS. JENNIFER SUZANNE THORSON LPC, CRC, CPRP

Counselor (Professional)

40 E MITCHELL DR, STE. 100
PHOENIX, AZ 85012

Maricopa County (602) 995-7474

ANNA TODOROVA

Case Manager/Care Coordinator

40 E MITCHELL DR
PHOENIX, AZ 85012

Maricopa County (602) 599-5568

BRITTANY RAE PETERSEN MA

Case Manager/Care Coordinator

40 E MITCHELL DR, SUITE 100 & 200
PHOENIX, AZ 85012

Maricopa County (602) 599-5614

EULANLIA DEE CHAVEZ

Case Manager/Care Coordinator

40 E MITCHELL DR, SUITE 100 & 200
PHOENIX, AZ 85012

Maricopa County (602) 599-5633

ESTELLA HOLMES

Case Manager/Care Coordinator

40 E MITCHELL DR
PHOENIX, AZ 85012

Maricopa County (602) 599-5461

MEREDITH ANSLEY RICE LAC

Counselor (Addiction (Substance Use Disorder))

40 E MITCHELL DR, SUITE 100 & 200
PHOENIX, AZ 85012

Maricopa County (602) 599-5528

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifewell Behavioral Wellness's NPI number?

The NPI number for Lifewell Behavioral Wellness is 1104111061. It was assigned to this organization in the NPPES registry on June 17, 2011. The provider is doing business as Lifewell - Mitchell.

Where is Lifewell Behavioral Wellness located?

Lifewell Behavioral Wellness is located at 40 E Mitchell Dr, Phoenix, AZ 85012. The listed phone number is (602) 808-2800.

What is Lifewell Behavioral Wellness's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

What insurance does Lifewell Behavioral Wellness accept?

Health plans from Ambetter from Arizona Complete Health list Lifewell Behavioral Wellness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifewell Behavioral Wellness was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.