MR. DENNIS SORRELMAN LISAC
NPI 1215085782
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Active since January 08, 2007
4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1511(602) 263-1619 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Dennis Sorrelman Lisac NPPES

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

MR. DENNIS SORRELMAN LISAC (NPI 1215085782) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (LISAC-0774) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1215085782
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DENNIS SORRELMANCredential: LISAC
Location Address4212 N 16TH STPhoenix, AZ 85016-5319
Mailing AddressPo Box 31001-0698Pasadena, CA 91110-0698 · (602) 263-1511 · Fax (602) 263-1619
Fax(602) 263-1619
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1215085782 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-0774
4212 N 16TH ST, Phoenix, AZ 85016

Other Identifiers 2

Medicaid103024AZ
OtherAZ0917680AZ · Bcbsaz

Other Providers at the Same Location NPPES 20

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

Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Nurse Practitioner (Obstetrics & Gynecology)
4212 N 16TH ST
PHOENIX, AZ 85016
Pharmacist
4212 N 16TH ST, PHARMACY
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Physician Assistant (Medical)
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Dentist (General Practice)
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215085782, enumerated as an "individual" on January 08, 2007.

The provider is located at 4212 N 16TH ST PHOENIX, AZ 85016 and the phone number is (602) 263-1511.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.