Provider Demographics
NPI:1437439031
Name:ADSIT, HOLLI (LMSW, LISAC)
Entity Type:Individual
Prefix:
First Name:HOLLI
Middle Name:
Last Name:ADSIT
Suffix:
Gender:F
Credentials:LMSW, LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8040 E MORGAN TRL STE 9
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1233
Mailing Address - Country:US
Mailing Address - Phone:480-570-4810
Mailing Address - Fax:
Practice Address - Street 1:8040 E MORGAN TRL
Practice Address - Street 2:STE 4
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1232
Practice Address - Country:US
Practice Address - Phone:480-570-4810
Practice Address - Fax:480-659-7230
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10066101YA0400X
AZ13185104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)