LA TORIA WATERS LISAC
NPI 1114796216
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Q: What is La Toria Waters's NPI number?

The NPI number for La Toria Waters is 1114796216. It was assigned to this individual provider in the NPPES registry on December 29, 2023. The provider is also known as La Toria Davis Lisac.

Q: What is La Toria Waters's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for La Toria Waters was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 29, 2023

10220 N 31ST AVE STE 103-105, PHOENIX, AZ 85051(602) 863-1862(602) 293-3591 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About La Toria Waters Lisac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA TORIA WATERS LISAC (NPI 1114796216) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (LISAC-155285) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1114796216

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameLA TORIA WATERSCredential: LISAC

Location Address10220 N 31ST AVE STE 103-105Phoenix, AZ 85051-9581

Mailing AddressPo Box 86537Tucson, AZ 85754-6537 · (520) 721-1887 · Fax (520) 372-7126

Phone(602) 863-1862

Fax(602) 293-3591

Sole ProprietorNo

Enumeration DateDecember 29, 2023

NPPES CertifiedDecember 29, 2023

✔ NPI 1114796216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in AZ · LISAC-155285

10220 N 31ST AVE STE 103-105, Phoenix, AZ 85051

Open in Google Maps ↗

Other Names 1

Other Name (5)La Toria Davis Lisac

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY SERVICE AGENCY

Community/Behavioral Health

10220 N 31ST AVE STE 103-105
PHOENIX, AZ 85051

Maricopa County (602) 863-1862

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Toria Waters's NPI number?

The NPI number for La Toria Waters is 1114796216. It was assigned to this individual provider in the NPPES registry on December 29, 2023. The provider is also known as La Toria Davis Lisac.

Where is La Toria Waters located?

La Toria Waters practices at 10220 N 31st Ave Ste 103-105, Phoenix, AZ 85051. The listed phone number is (602) 863-1862.

What is La Toria Waters's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for La Toria Waters was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.