Provider Demographics
NPI:1699569889
Name:VITAMIN HOPE COUNSELING LLC
Entity type:Organization
Organization Name:VITAMIN HOPE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ARAIZA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:623-512-8329
Mailing Address - Street 1:17505 N 79TH AVE STE 213B
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8728
Mailing Address - Country:US
Mailing Address - Phone:623-512-8329
Mailing Address - Fax:
Practice Address - Street 1:17505 N 79TH AVE STE 213B
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8728
Practice Address - Country:US
Practice Address - Phone:623-512-8329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLPC-23507OtherSTATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS