Provider Demographics
NPI:1083394795
Name:CALMCARE, LLC
Entity Type:Organization
Organization Name:CALMCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP - BC
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUEBKE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP - BC
Authorized Official - Phone:623-552-1534
Mailing Address - Street 1:10220 N 31ST AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-9581
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10220 N 31ST AVE STE 220
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-9581
Practice Address - Country:US
Practice Address - Phone:623-552-1534
Practice Address - Fax:602-848-2765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty