Healthcare Provider Details

I. General information

NPI: 1356320519
Provider Name (Legal Business Name): SUAYE ANNA MARIA VALENTI LCSW, LISAC, CSAT-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNA MARIA VALENTI-ANDERSON LCSW, LISAC, CSAT-S

II. Dates (important events)

Enumeration Date: 01/15/2006
Last Update Date: 03/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4202 N 32ND ST STE J
PHOENIX AZ
85018-4765
US

IV. Provider business mailing address

16651 W PARADISE LN
SURPRISE AZ
85388-2120
US

V. Phone/Fax

Practice location:
  • Phone: 623-695-0064
  • Fax:
Mailing address:
  • Phone: 623-695-0064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number11605
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11769
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: