Healthcare Provider Details

I. General information

NPI: 1740649060
Provider Name (Legal Business Name): CAREFREE BEHAVIORAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 02/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 E CAVE CREEK RD STE 124
CAVE CREEK AZ
85331-4305
US

IV. Provider business mailing address

PO BOX 2987
CAREFREE AZ
85377-2987
US

V. Phone/Fax

Practice location:
  • Phone: 480-488-7876
  • Fax:
Mailing address:
  • Phone: 480-488-7876
  • Fax: 480-563-4632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ELLEN R. DIAMOND
Title or Position: MANAGER/MEMBER
Credential: PHD
Phone: 480-488-7876