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

Victorious Lifestyle LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1457069338

Victorious Lifestyle LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

10000 N 31st Ave Ste C307
Phoenix, AZ 85051-9569
Phone: (240) 397-0554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1457069338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shareka Sherrod — Owner · (240) 397-0554
NPI enumeratedNovember 9, 2022
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022
Mailing address1831 E Apache Blvd Apt 2098, Tempe, AZ 85281-6682

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