Provider Demographics
NPI:1063031268
Name:CCC KARAKEY LLC
Entity Type:Organization
Organization Name:CCC KARAKEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:CLAIBOURNE COX
Authorized Official - Last Name:KARAKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:520-488-6380
Mailing Address - Street 1:8010 E MORGAN TRL STE 12
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1234
Mailing Address - Country:US
Mailing Address - Phone:520-488-6380
Mailing Address - Fax:
Practice Address - Street 1:8010 E MORGAN TRL STE 12
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1234
Practice Address - Country:US
Practice Address - Phone:520-488-6380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty