Healthcare Provider Details

I. General information

NPI: 1467317222
Provider Name (Legal Business Name): COUNSELING OFFICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 E MORTEN AVE
PHOENIX AZ
85020-4556
US

IV. Provider business mailing address

PO BOX 45042
PHOENIX AZ
85064-5042
US

V. Phone/Fax

Practice location:
  • Phone: 480-565-9276
  • Fax:
Mailing address:
  • Phone: 480-565-9276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SCOTT D MCCRACKEN
Title or Position: PART OWNER/THERAPIST
Credential: LPC
Phone: 480-565-9276