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MRS. VIRGINIA ARIZONA-FAT LISAC,CPS
NPI 1467481168
Counselor - Addiction (Substance Use Disorder) in Page, AZ

Active since July 03, 2006
337 N. NAVAJO DRIVE, PAGE, AZ 86040(928) 645-6480(928) 645-8158 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Virginia Arizona-fat Lisac,cps NPPES

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

MRS. VIRGINIA ARIZONA-FAT LISAC,CPS (NPI 1467481168) is an individual addiction (substance use disorder) provider in Page, Arizona, licensed in Arizona (LISAC-11471) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1467481168
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. VIRGINIA ARIZONA-FATCredential: LISAC,CPS
Location Address337 N. NAVAJO DRIVEPage, AZ 86040
Mailing AddressPo Box 2147Kaibeto, AZ 86053-2147 · (928) 673-3267 · Fax (928) 673-3269
Phone(928) 645-6480
Fax(928) 645-8158
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateAugust 19, 2019
✔ NPI 1467481168 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-11471
337 N. NAVAJO DRIVE, Page, AZ 86040
Open in Google Maps ↗

Other Identifiers 1

Medicaid972572AZ

Other Providers at the Same Location NPPES 2

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

MR. NORMAN RAY STEVENS LISAC
Counselor (Addiction (Substance Use Disorder))
337 N. NAVAJO DRIVE
PAGE, AZ 86040
Coconino County (928) 645-6840
MRS. JEANIE MANSON LISAC
Counselor (Addiction (Substance Use Disorder))
337 N. NAVAJO DRIVE
PAGE, AZ 86040
Coconino County (928) 645-6840

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 Virginia Arizona-fat's NPI number?

The NPI number for Virginia Arizona-fat is 1467481168. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Virginia Arizona-fat located?

Virginia Arizona-fat practices at 337 N. Navajo Drive, Page, AZ 86040. The listed phone number is (928) 645-6480.

What is Virginia Arizona-fat'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 Virginia Arizona-fat was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.