Healthcare Provider Details

I. General information

NPI: 1386584654
Provider Name (Legal Business Name): DESERT LIFE WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
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: 520-955-4474
  • Fax:
Mailing address:
  • Phone: 720-232-7784
  • Fax: 520-783-6365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse 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/MEMBER
Credential: LPC
Phone: 720-232-7784