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NPI Code Detail

MEDICARE: BRIAN SANTIAGO LPC

MEDICARE: BRIAN SANTIAGO LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC015615GA

General Provider Information

NPI Number : 1497229918
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN SANTIAGO LPC
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1899 POWERS FERRY RD SE FL 2
Second Line :
City : ATLANTA
State : GA
Zip : 30339-5620
Country : US
Telephone Number : 678-831-0608
Fax Number : 678-831-0564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2019
Last Update Date : 05/22/2026

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Directions to “ BRIAN SANTIAGO LPC” Practice Location

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