Provider Demographics
NPI:1134362411
Name:DENORSCIA, ERICA (MA, LASAC)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:DENORSCIA
Suffix:
Gender:F
Credentials:MA, LASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10115 E BELL RD
Mailing Address - Street 2:SUITE 107, #481
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2189
Mailing Address - Country:US
Mailing Address - Phone:480-306-5771
Mailing Address - Fax:
Practice Address - Street 1:16600 N THOMPSON PEAK PKWY
Practice Address - Street 2:UNIT 2013
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2175
Practice Address - Country:US
Practice Address - Phone:480-306-5771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLASAC-13117101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)