Healthcare Provider Details

I. General information

NPI: 1457788473
Provider Name (Legal Business Name): STANLEY JAMES SAVOIA LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2013
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18555 N 79TH AVE STE D107
GLENDALE AZ
85308-6040
US

IV. Provider business mailing address

16430 N SCOTTSDALE RD STE 210
SCOTTSDALE AZ
85254-1581
US

V. Phone/Fax

Practice location:
  • Phone: 623-777-3477
  • Fax: 623-777-3478
Mailing address:
  • Phone: 602-464-9576
  • Fax: 602-626-8901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14137
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: