Provider Demographics
NPI:1124278262
Name:WHITE, AZASHA CAPRI (MS)
Entity type:Individual
Prefix:MISS
First Name:AZASHA
Middle Name:CAPRI
Last Name:WHITE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1156 WOODBINE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-1632
Mailing Address - Country:US
Mailing Address - Phone:412-401-3077
Mailing Address - Fax:
Practice Address - Street 1:1156 WOODBINE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-1632
Practice Address - Country:US
Practice Address - Phone:412-401-3077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)