DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. RYAN TROY PORTER

MEDICARE: MR. RYAN TROY PORTER
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
1101Y00000XCounselor180005697IL
2101YP2500XProfessional Counselor180005697IL
3101YP2500XProfessional CounselorLPC-23103AZ

General Provider Information

NPI Number : 1811184955
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RYAN TROY PORTER
Provider Business Mailing Address
First Line : 2323 E WILLOW WICK RD
Second Line :
City : GILBERT
State : AZ
Zip : 85296-2723
Country : US
Telephone Number : 847-971-3579
Fax Number :
Provider Business Practice Location Address
First Line : 1910 S STAPLEY DR STE 209
Second Line :
City : MESA
State : AZ
Zip : 85204-6679
Country : US
Telephone Number : 480-351-8020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2007
Last Update Date : 05/14/2025

Similar Medicare Providers

1518636448 — BRENDA CHANEL DEMAYO LMFT
Practice Location Address:
1910 S STAPLEY DR STE 209
MESA, AZ
85204-6679
Practice Phone: 888-374-5066
Practice Fax:
1316013253 — SALLY A. ANN BROWN PHD, LCSW
Practice Location Address:
1910 S STAPLEY DR STE 209
MESA, AZ
85204-6679
Practice Phone: 928-632-3332
Practice Fax:
1396877411 — JENNIFER SHEA FILLMORE LMSW
Practice Location Address:
1910 S STAPLEY DR STE 209
MESA, AZ
85204-6679
Practice Phone: 480-351-8020
Practice Fax:
1568679579 — DR. RONIT LIBY COHEN M.D.
Practice Location Address:
1910 S STAPLEY DR STE 209
MESA, AZ
85204-6679
Practice Phone: 480-351-8020
Practice Fax:
1104022896 — MRS. TRACY NICKOL CONNOR PA-C
Practice Location Address:
1910 S STAPLEY DR STE 209
MESA, AZ
85204-6679
Practice Phone: 480-351-8020
Practice Fax: 704-355-7626
1467627703 — MR. JEFFERY TAYLOR LCSW
Practice Location Address:
1910 S STAPLEY DR STE 209
MESA, AZ
85204-6679
Practice Phone: 480-351-8020
Practice Fax:

Directions to “ MR. RYAN TROY PORTER ” 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.