Provider Demographics
NPI:1356320519
Name:VALENTI, SUAYE ANNA MARIA (LCSW, LISAC, CSAT-S)
Entity Type:Individual
Prefix:MS
First Name:SUAYE ANNA
Middle Name:MARIA
Last Name:VALENTI
Suffix:
Gender:F
Credentials:LCSW, LISAC, CSAT-S
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:MARIA
Other - Last Name:VALENTI-ANDERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, LISAC, CSAT-S
Mailing Address - Street 1:16651 W PARADISE LN
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-2120
Mailing Address - Country:US
Mailing Address - Phone:623-695-0064
Mailing Address - Fax:
Practice Address - Street 1:4202 N 32ND ST STE J
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-4765
Practice Address - Country:US
Practice Address - Phone:623-695-0064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-15
Last Update Date:2018-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11605101YA0400X
AZ117691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)