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ENGAGING LIFE CENTER
NPI 1679112619
Clinic/Center - Multi-Specialty in Youngtown, AZ

Active since December 21, 2019
12600 N 113TH AVE STE B9, YOUNGTOWN, AZ 85363(602) 845-0767(602) 715-0647 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2020, Dec 21, 2019 (2 updates tracked since 2019).

About Engaging Life Center NPPES

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

ENGAGING LIFE CENTER (NPI 1679112619) is a healthcare organization registered as a multi-specialty in Youngtown, Arizona and active in the NPI registry since December 2019. The organization lists Pamela Robinson, Executive Medical Director/coo, as its authorized official.

NPPES Registry Identity

NPI1679112619
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameENGAGING LIFE CENTER
Location Address12600 N 113TH AVE STE B9Youngtown, AZ 85363-1163
Mailing Address12600 N 113th Ave Ste B9Youngtown, AZ 85363-1163 · (602) 845-0767 · Fax (602) 715-0647
Phone(602) 845-0767
Fax(602) 715-0647
Organization SubpartNo
Authorized OfficialPamela RobinsonExecutive Medical Director/coo · (602) 845-0767
Enumeration DateDecember 21, 2019
Last NPPES UpdateJune 19, 20202 updates tracked since enumeration
NPPES CertifiedJune 19, 2020
✔ NPI 1679112619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
Also ListedPsychologist · Prescribing (Medical)Taxonomy 103TP0016X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
12600 N 113TH AVE STE B9, Youngtown, AZ 85363
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. DENITA MANNING LPCC
Counselor (Professional)
12600 N 113TH AVE STE B9
YOUNGTOWN, AZ 85363
Maricopa County (602) 845-0767
DR. MANCY HOWARD JR. LPCC
Counselor (Professional)
12600 N 113TH AVE STE B9
YOUNGTOWN, AZ 85363
Maricopa County (602) 845-0767

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 Engaging Life Center's NPI number?

The NPI number for Engaging Life Center is 1679112619. It was assigned to this organization in the NPPES registry on December 21, 2019.

Where is Engaging Life Center located?

Engaging Life Center is located at 12600 N 113th Ave Ste B9, Youngtown, AZ 85363. The listed phone number is (602) 845-0767.

What is Engaging Life Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Engaging Life Center was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.