Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Track House Life, LLC

Organization Clinical Social Worker · NPI 1447302914

Track House Life, LLC is a Clinical Social Worker in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4205 N 7th Ave Ste 307
Phoenix, AZ 85013
Phone: (602) 522-2595
Fax: (602) 258-4996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X · Licence CLSG7622 (AZ)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1447302914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Roberson — President · (602) 522-2595
NPI enumeratedJanuary 17, 2007
Last updated in NPPESJune 19, 2018
Mailing address4205 N 7th Ave Ste 307, Phoenix, AZ 85013-3080

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