Provider Demographics
NPI:1598387912
Name:BRAZAITIS, DANICA (LPC)
Entity Type:Individual
Prefix:
First Name:DANICA
Middle Name:
Last Name:BRAZAITIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DANICA
Other - Middle Name:
Other - Last Name:SHOWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16430 N SCOTTSDALE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1581
Mailing Address - Country:US
Mailing Address - Phone:480-428-0229
Mailing Address - Fax:480-428-0475
Practice Address - Street 1:2450 E GUADALUPE RD STE 103
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-5116
Practice Address - Country:US
Practice Address - Phone:480-907-6818
Practice Address - Fax:480-907-6818
Is Sole Proprietor?:No
Enumeration Date:2020-05-07
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-18870101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional