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NPI Code Detail

MEDICARE: LIFE N LOVE WELLNESS INC

MEDICARE: LIFE N LOVE WELLNESS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2106S00000XBehavior Technician
3133N00000XNutritionist
4261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1215538806
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE N LOVE WELLNESS INC
Provider Business Mailing Address
First Line : 4050 E COTTON CENTER BLVD STE 77
Second Line :
City : PHOENIX
State : AZ
Zip : 85040-8865
Country : US
Telephone Number : 480-594-3570
Fax Number :
Provider Business Practice Location Address
First Line : 4801 S LAKESHORE DR STE 101
Second Line :
City : TEMPE
State : AZ
Zip : 85282-7156
Country : US
Telephone Number : 480-594-3570
Fax Number :
Authorized Official
Title or Position : CEO
Name : JOSHUA FARRAKHAN
Credential :
Telephone Number : 480-594-3570
Provider Enumeration Date : 11/02/2020
Last Update Date : 05/29/2025

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Directions to “LIFE N LOVE WELLNESS INC ” Practice Location

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