Healthcare Provider Details

I. General information

NPI: 1346883667
Provider Name (Legal Business Name): FULL LIFE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2019
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10451 W PALMERAS DR STE 113
SUN CITY AZ
85373-2053
US

IV. Provider business mailing address

10451 W PALMERAS DR STE 113
SUN CITY AZ
85373-2053
US

V. Phone/Fax

Practice location:
  • Phone: 623-977-0677
  • Fax: 623-335-1172
Mailing address:
  • Phone: 623-977-0677
  • Fax: 623-335-1172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DANA STRICKLAND
Title or Position: OWNER
Credential: LPC, CCTP
Phone: 623-977-0677