LISA MARIE GASTALDI LIAC NPI 1104187053

NPI Information

  • NPI: 1104187053
  • Provider Name: LISA MARIE GASTALDI, LIAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 4909 E MCDOWELL RD
    PHOENIX, AZ
    ZIP 85008
  • Phone: (602) 685-6000

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NPI Details

Lisa Marie Gastaldi, LIAC is an addiction (substance use disorder) counselor in Phoenix, AZ. Lisa Marie Gastaldi, LIAC NPI is 1104187053. 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:

4909 E MCDOWELL RD
PHOENIX, AZ
ZIP 85008-227
Phone: (602) 685-6000
Fax: (602) 275-1355

The enumeration date for this NPI number is 6/6/2012 and was last updated on 12/9/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)16482-130WISCONSINNo
2101YA0400XCounselorAddiction (Substance Use Disorder)155344ARIZONAYes

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: 11/21/2025

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