MR. ANTHONY DOMINIC SPARACINO


Address: 1480 E. Bethany Home Rd, Suite 230, Phoenix, AZ 85014
Phone: 6026777550

MR. ANTHONY DOMINIC SPARACINO (NPI# 1265686497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265686497
Entity Type Individual
Full Name MR. ANTHONY DOMINIC SPARACINO
Other Name MR. TONY DOMINIC SPARACINO
Credential LPC, NCC
Practice Address 1480 E. Bethany Home Rd
Suite 230
Phoenix
AZ 85014
Practice Telephone 6026777550
Mailing Telephone 6026777550
Enumeration Date 2008-11-14
Last Update Date 2014-10-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC-14084 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 1480 E. BETHANY HOME RD
SUITE 230
City PHOENIX
State AZ
Zip Code 85014

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85014

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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