Desert Life Center LLC · Mental Health Clinic/Center (Including Community Mental Health Center)

1109 N Dysart Rd Ste B, Avondale, AZ 85323-1700

Overview

Desert Life Center LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) (organization) practicing in Avondale, Arizona. The National Provider Identifier (NPI) is #1154285120, which was assigned on December 12, 2025, and the registration record was last updated on December 12, 2025. The practitioner's main practice location is at 1109 N Dysart Rd Ste B, Avondale, AZ 85323-1700; the contact telephone number is 4809152288. The primary taxonomy of Desert Life Center LLC is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), with specialization in Mental Health (Including Community Mental Health Center). The authorized official for Desert Life Center LLC is Marlo Watkins (Authorized Official).

Provider Information

NPI 1154285120
Entity Type Organization
Organization Name DESERT LIFE CENTER LLC
Provider Name DESERT LIFE CENTER LLC
Practice Address 1109 N Dysart Rd Ste B
Avondale
AZ 85323-1700
Practice Telephone 4809152288
Mailing Address 1109 N Dysart Rd Ste B
Avondale
AZ 85323-1700
Certification Date 2025-12-12
Enumeration Date 2025-12-12
Last Update Date 2025-12-12
Is Organization Subpart N

Authorized Official Information

Official Name MARLO WATKINS
Official Title AUTHORIZED OFFICIAL
Telephone 4809152288

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)

Taxonomy Information

Primary Taxonomy

Code 261QM0801X
Taxonomy Mental Health Clinic/Center (Including Community Mental Health Center)
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)
Grouping Ambulatory Health Care Facilities
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Butler County Community Health Consortium, Inc. 201 E Saint Clair St, Eaton, OH 45320-2422Mental Health Clinic/Center (Including Community Mental Health Center)2026-06-05
Butler County Community Health Consortium, Inc. 1100 W National Rd, Englewood, OH 45315-9508Mental Health Clinic/Center (Including Community Mental Health Center)2026-06-05
Butler County Community Health Consortium, Inc. 200 S Fuls Rd, New Lebanon, OH 45345-9119Mental Health Clinic/Center (Including Community Mental Health Center)2026-06-05
Alfa Medical Center Corp 9245 Sw 158th Ln Ste 201, Palmetto Bay, FL 33157-1804Mental Health Clinic/Center (Including Community Mental Health Center)2026-06-05
Butler County Community Health Consortium, Inc. 1 E Wren Cir, Kettering, OH 45420-2955Mental Health Clinic/Center (Including Community Mental Health Center)2026-06-05
Oaken Tms 1407 Saint Andrew St Ste 202, La Crosse, WI 54603-3301Mental Health Clinic/Center (Including Community Mental Health Center)2026-06-05
Heartwood Family Therapy, PLLC 1054 E Hammock Ln, Saratoga Springs, UT 84045-5676Mental Health Clinic/Center (Including Community Mental Health Center)2026-06-05
Stone & Sage Counseling, PLLC 719 Philadelphia St, Fate, TX 75189-4071Mental Health Clinic/Center (Including Community Mental Health Center)2026-06-05
Laughing Moon, LLC 1227 Farmington Ave, Berlin, CT 06037-2301Mental Health Clinic/Center (Including Community Mental Health Center)2026-06-05
Lighthouse Therapy Oahu LLC 91-1510 Kaikohola St, Ewa Beach, HI 96706-6286Mental Health Clinic/Center (Including Community Mental Health Center)2026-06-05
Find all providers with the same taxonomy

Location Information

Street Address 1109 N DYSART RD STE B
City AVONDALE
State AZ
Zip Code 85323-1700
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Desert Life Center LLC 1109 N Dysart Rd Ste B, Avondale, AZ 85323-1700Community/Behavioral Health Agency2023-04-03

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Walmart Stores, Inc. 13055 W Rancho Santa Fe Blvd, Avondale, AZ 85323-1700Optician2006-10-11

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Tiffani Jo Hamstra 425 N Central Ave, Avondale, AZ 85323Family Nurse Practitioner2010-11-11
Annette A Alvarez 295 W Western Avenue, Avondale, AZ 85323Speech-Language Assistant2016-09-01
Marieclaire Mbah Acha Cbi West Valley Access Point, 824 N99th Ave Ste 108, Avondale, AZ 85323Psychiatric/Mental Health Nurse Practitioner2020-03-05
Katherine Joy Dorman 11202 W Joblanca Rd, Avondale, AZ 85323Family Nurse Practitioner2019-04-01
New Dynamics Behavioral Health LLC 1203 S Central Ave, Phoenix, AZ 85323Substance Abuse Rehabilitation Facility2024-12-23
Aquatic-N-Writing Rehad 12355 West Cocopah Street, Avondale, AZ 85323Home Health Agency2017-02-07
Amanda Mann 12804 West Hildalgo, Avondale, AZ 85323Physical Therapy Assistant2014-10-03
Urbanspectrum Community Based Services 12225 W Buchanan Street, Avondale, AZ 85323Case Management Agency2024-10-04
Ziongloria Hezekiah 11979 W. Fillmore St, Avondale, AZ 85323Counselor2020-01-10
Dayna Sue Kaepp 3300 N. Santa Fe Trail, Avondale, AZ 85323School Registered Nurse2018-04-04
Find all providers in the same zip code

Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
The Life Center Complex, Inc 1570 N Dupont Hwy, Dover, DE 19901-2215Family Nurse Practitioner2026-04-11
Rejuvenation New Life Treatment Center 16731 Beechnut St Apt 1210, Houston, TX 77083-6647Addiction Medicine (Family Medicine) Physician2026-03-31
Legacy Life Wellness Center LLC 2183 Lisa Dr, Columbus, OH 43219-2035Community Health Worker2026-04-01
Radiant Life Counseling Center, LLC 6 Parklane Blvd Ste 122, Dearborn, MI 48126-4206Counseling Psychologist2026-06-02
Radiant Life Senior Social Center Inc 8916 175th St Ste Cf2, Jamaica, NY 11432-5557Adult Day Care Clinic/Center2026-05-16
Desert Tms LLC 4160 N 108th Ave Ste 101, Phoenix, AZ 85037-5468Adult Mental Health Clinic/Center2026-04-14
Lumina One Life Center 106 W Third Ave, Gastonia, NC 28052-4321Developmentally Disabled Services Day Training Agency2026-03-24
The Life Center Complex, Inc 190 Salem Church Rd, Newark, DE 19713-2938Clinical Social Worker2026-04-11
Aligned Life Center, LLC 29 Sunlight Church Rd, Sandy Hook, MS 39478-9469Adult Day Care Clinic/Center2026-04-24
Family Life Enrichment Center, Inc. 3450 New High Shoals Road, High Shoals, GA 30645-0001Skilled Nursing Facility2007-01-31

Improve Information

Do you have more infomration about Desert Life Center LLC? Please fill in the following form.


Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.