Healthcare Provider Details

I. General information

NPI: 1194660316
Provider Name (Legal Business Name): TROY ZASLOVE LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E SHEA BLVD STE 100
PHOENIX AZ
85028-3085
US

IV. Provider business mailing address

4545 E SHEA BLVD STE 100
PHOENIX AZ
85028-3085
US

V. Phone/Fax

Practice location:
  • Phone: 602-529-6557
  • Fax: 480-485-7938
Mailing address:
  • Phone: 602-529-6557
  • Fax: 480-485-7938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-23034
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: