MEDICARE: DESERT LIFE PSYCHOTHERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LF0000X	Family Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1013866987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT LIFE PSYCHOTHERAPY

Provider Business Mailing Address
First Line	:	1022 W INA RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-3109
Country	:	US
Telephone Number	:	520-436-3922
Fax Number	:

Provider Business Practice Location Address
First Line	:	1022 W INA RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-3109
Country	:	US
Telephone Number	:	520-436-3922
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AURORA THRUSH
Credential	:	LPC-16264
Telephone Number	:	520-436-3922

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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Directions to “DESERT LIFE PSYCHOTHERAPY ” Practice Location

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