Individual provider · Type 1 NPI

Shieata Wade, LACT

Addiction (Substance Use Disorder) Counselor · Peoria, AZ

NPI number 1174440648 Active

Practice location

8335 W Jefferson St
Peoria, AZ 85345-6516

Call (602) 621-6258 Map

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) 343900000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15220 (AZ)
Community/Behavioral Health Agency 251S00000XNone listed
Peer Specialist 175T00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Prevention Professional 405300000XLACT-15220 (AZ)
Case Management Agency 251B00000XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174440648

Shieata Wade, LACT's National Provider Identifier is 1174440648, issued on Jul 3, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Peoria, AZ. The record was last updated on Oct 9, 2026.