Provider Demographics
NPI:1811597552
Name:ROMERO, DEANAHA M (LPC)
Entity Type:Individual
Prefix:
First Name:DEANAHA
Middle Name:M
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7141 W CARTER RD
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-7059
Mailing Address - Country:US
Mailing Address - Phone:623-322-6143
Mailing Address - Fax:480-781-4566
Practice Address - Street 1:3930 N 30TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-4607
Practice Address - Country:US
Practice Address - Phone:623-322-6143
Practice Address - Fax:480-781-4566
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-20874101YP2500X
AZ15432101Y00000X
101YA0400X, 101YM0800X, 106H00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1891395604OtherHELPING HANDZ COUNSELING SERVICES OUTPATIENT TREATMENT CENTER