Provider Demographics
NPI:1740649060
Name:CAREFREE BEHAVIORAL HEALTH, PLLC
Entity type:Organization
Organization Name:CAREFREE BEHAVIORAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:DIAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-488-7876
Mailing Address - Street 1:PO BOX 2987
Mailing Address - Street 2:
Mailing Address - City:CAREFREE
Mailing Address - State:AZ
Mailing Address - Zip Code:85377-2987
Mailing Address - Country:US
Mailing Address - Phone:480-488-7876
Mailing Address - Fax:480-563-4632
Practice Address - Street 1:7100 E CAVE CREEK RD
Practice Address - Street 2:STE 124
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-4305
Practice Address - Country:US
Practice Address - Phone:480-488-7876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty