MEDICARE: LINDA S. DOMIANO L.I.S.A.C.

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LISAC-10774	AZ

General Provider Information

NPI Number	:	1508293291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA S. DOMIANO L.I.S.A.C.

Provider Business Mailing Address
First Line	:	32 S MACDONALD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-1310
Country	:	US
Telephone Number	:	480-969-1471
Fax Number	:	480-264-0687

Provider Business Practice Location Address
First Line	:	32 S MACDONALD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-1310
Country	:	US
Telephone Number	:	480-969-1471
Fax Number	:	480-264-0687

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2013
Last Update Date	:	09/26/2013

Similar Medicare Providers

1053789818 — RANDALL BRASMER
Practice Location Address:

32 S MACDONALD
MESA, AZ
85210-1310

Practice Phone: 480-969-1471
Practice Fax: 480-264-0687

1992079610 — MR. JOHN RAYMOND SCHWARY CADAC
Practice Location Address:

32 S MACDONALD
MESA, AZ
85210-1310

Practice Phone: 602-763-2138
Practice Fax:

1518231117 — MR. ROCKIE LEE SUTTLE LEVEL 1 COUNSELOR
Practice Location Address:

32 S MACDONALD
MESA, AZ
85210-1310

Practice Phone: 480-833-0143
Practice Fax:

1417223017 — TLC/TRANSITIONAL LIVING COMMUNITIES
Practice Location Address:

32 S. MACDONALD STREET
MESA, AZ
85210-1310

Practice Phone: 480-833-0143
Practice Fax: 480-833-4266

1922426956 — HOLISTIC MEDICAL GROUP
Practice Location Address:

32 S MACDONALD
MESA, AZ
85210-1310

Practice Phone: 480-969-1472
Practice Fax: 480-269-9426

1265841027 — MISS MARY CATHERINE ONEIL LPC
Practice Location Address:

32 S MACDONALD , SUITES AAND B
MESA, AZ
85210-1310

Practice Phone: 480-969-1471
Practice Fax: 480-264-0687

Directions to “ LINDA S. DOMIANO L.I.S.A.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.