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LIFESTREAM THERAPY, LLC
NPI 1972381846
Counselor - Mental Health in Mesa, AZ

Active since September 20, 2023
10162 E OLLA AVE, MESA, AZ 85212(951) 448-7035 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifestream Therapy, Llc NPPES

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

LIFESTREAM THERAPY, LLC (NPI 1972381846) is a healthcare organization registered as a mental health in Mesa, Arizona and active in the NPI registry since September 2023. The organization lists Robert Scott Gminder, Owner, as its authorized official.

NPPES Registry Identity

NPI1972381846
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIFESTREAM THERAPY, LLC
Location Address10162 E OLLA AVEMesa, AZ 85212-2378
Mailing Address23520 Marblehead CirCanyon Lake, CA 92587-7706 · (951) 448-7035
Phone(951) 448-7035
Organization SubpartNo
Authorized OfficialRobert Scott GminderOwner · (951) 448-7035
Enumeration DateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1972381846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
10162 E OLLA AVE, Mesa, AZ 85212
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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

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 Lifestream Therapy, LLC's NPI number?

The NPI number for Lifestream Therapy, LLC is 1972381846. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Lifestream Therapy, LLC located?

Lifestream Therapy, LLC is located at 10162 E Olla Ave, Mesa, AZ 85212. The listed phone number is (951) 448-7035.

What is Lifestream Therapy, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lifestream Therapy, LLC was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.