Organization
EISSA THERAPEUTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIRARSALAN EISSA MD (CEO, MEDICAL DIRECTOR)
(480) 238-8634
Entity
Organization
Contact information
Practice address
303 N CENTENNIAL WAY STE 101, MESA, AZ 85201-6733
(480) 238-8634
Mailing address
303 N CENTENNIAL WAY STE 101, MESA, AZ 85201-6733
(480) 238-8634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/22/2026
Last updated
08/03/2026
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