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General NPI Number Information
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NPI Number | 1386584654
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Entity Type | Organization
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Legal Business Name | DESERT LIFE WELLNESS
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 1022 W INA RD
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City | TUCSON
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State | AZ
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Zip | 85704-3109
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Country | US
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Telephone | 520-955-4474
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Fax |
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Provider Business Mailing Address
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Address Line | 8327 N VERDE CATALINA DR
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City | TUCSON
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State | AZ
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Zip | 85704-6423
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Country | US
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Telephone | 720-232-7784
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | AURORA THRUSH
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Credential | LPC
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Telephone | 720-232-7784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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