Search › Arizona › 1041C0700X
Antonio Dacosta, LCSW
NPI 1851510812 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4620 N 16th St
Suite #E-110
Phoenix, AZ 85016 - Phone
- (602) 264-2770
- Fax
- (866) 534-1701
- Organisation at this address
- Akdhc, Llc
Shirvan, Inc.
Akdhc Surgery Center, Llc
Grace Of Serenity Living, Inc
Genesis Medical Practice ManagementInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona