Healthcare Provider Details

I. General information

NPI: 1174266779
Provider Name (Legal Business Name): ALL LIFE TRANSITIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 E GRANADA RD APT 3
PHOENIX AZ
85006-2198
US

IV. Provider business mailing address

917 E GRANADA RD APT 3
PHOENIX AZ
85006-2198
US

V. Phone/Fax

Practice location:
  • Phone: 602-688-9148
  • Fax:
Mailing address:
  • Phone: 602-688-9148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: KARA JEAN BREI
Title or Position: EXECUTIVE DIRECTOR
Credential: MC, NCC, LPC
Phone: 602-688-9148