LA TORIA WATERS LISAC NPI 1114796216

NPI Information

NPI: 1114796216
Provider Name: LA TORIA WATERS, LISAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
10220 N 31ST AVE STE 103-105
PHOENIX, AZ
ZIP 85051
Phone: (602) 863-1862
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La Toria Waters, LISAC is an addiction (substance use disorder) counselor in Phoenix, AZ. La Toria Waters, LISAC NPI is 1114796216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10220 N 31ST AVE STE 103-105
PHOENIX, AZ
ZIP 85051-581
Phone: (602) 863-1862
Fax: (602) 293-3591

The enumeration date for this NPI number is 12/29/2023 and was last updated on 12/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-155285	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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