Healthcare Provider Details

I. General information

NPI: 1013866987
Provider Name (Legal Business Name): DESERT LIFE PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2026
Last Update Date: 01/24/2026
Certification Date: 01/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1022 W INA RD
TUCSON AZ
85704-3109
US

IV. Provider business mailing address

1022 W INA RD
TUCSON AZ
85704-3109
US

V. Phone/Fax

Practice location:
  • Phone: 520-436-3922
  • Fax:
Mailing address:
  • Phone: 520-436-3922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AURORA THRUSH
Title or Position: OWNER
Credential: LPC-16264
Phone: 520-436-3922