Provider Demographics
NPI:1750880233
Name:BRUNACINI, ALANA C (DBH, LPC)
Entity type:Individual
Prefix:DR
First Name:ALANA
Middle Name:C
Last Name:BRUNACINI
Suffix:
Gender:F
Credentials:DBH, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 N 31ST AVE STE C100-126
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-1356
Mailing Address - Country:US
Mailing Address - Phone:602-434-2691
Mailing Address - Fax:
Practice Address - Street 1:10000 N 31ST AVE STE C100-126
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-1356
Practice Address - Country:US
Practice Address - Phone:602-888-6044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-09
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-14038101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health