Provider Demographics
NPI:1508015165
Name:LONGHI, STEVE ARTHUR (MA, LISAC, LAC)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:ARTHUR
Last Name:LONGHI
Suffix:
Gender:M
Credentials:MA, LISAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 N 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85003-1523
Mailing Address - Country:US
Mailing Address - Phone:602-495-3085
Mailing Address - Fax:602-495-3086
Practice Address - Street 1:636 N 3RD AVENUE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-1523
Practice Address - Country:US
Practice Address - Phone:602-495-3085
Practice Address - Fax:602-495-3086
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC-1057101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ600241443OtherMAGELLAN CLINICAL LIAISON NUMBER