Healthcare Provider Details
I. General information
NPI: 1992793483
Provider Name (Legal Business Name): INNER-WORK COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3231 S COUNTRY CLUB WAY SUITE 111
TEMPE AZ
85282-4053
US
IV. Provider business mailing address
3231 S COUNTRY CLUB WAY SUITE 111
TEMPE AZ
85282-4053
US
V. Phone/Fax
- Phone: 480-755-4016
- Fax: 480-755-4018
- Phone: 480-755-4016
- Fax: 480-755-4018
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | LPC0146 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | LISAC1620 |
| License Number State | AZ |
VIII. Authorized Official
Name: MR.
BRYON
ROSS
SABATINO
Title or Position: CLINICAL DIRECTOR
Credential: MC, LPD, LISAC
Phone: 480-755-4016