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 provides Clinical Social Worker services 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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