Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randy Dannheim, LISAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1710308788

Randy Dannheim, LISAC is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013

Practice location Address checks out

5116 E Thomas Rd
Phoenix, AZ 85018-7915
Phone: (602) 281-6574
Fax: (602) 281-6905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LISAC-11479 (AZ)

Record details

NPI number1710308788
Entity typeIndividual (Type 1)
GenderMale
Credentials LISAC
Sole proprietorNo
NPI enumeratedDecember 18, 2013
Last updated in NPPESDecember 11, 2019
Certification dateDecember 11, 2019
Mailing address5116 E Thomas Rd, Phoenix, AZ 85018-7915

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