Provider Demographics
NPI:1508104795
Name:S.E.E.K. ARIZONA
Entity Type:Organization
Organization Name:S.E.E.K. ARIZONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:480-902-0771
Mailing Address - Street 1:4700 E THOMAS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-7702
Mailing Address - Country:US
Mailing Address - Phone:480-902-0771
Mailing Address - Fax:602-795-1663
Practice Address - Street 1:4425 W OLIVE AVE STE 167
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-3845
Practice Address - Country:US
Practice Address - Phone:480-902-0771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:S.E.E.K. ARIZONA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-22
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health