Healthcare Provider Details

I. General information

NPI: 1720731870
Provider Name (Legal Business Name): CLAUDIA COOPER LPC, LISAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2022
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 E VISTA BONITA DR STE 100
SCOTTSDALE AZ
85255-4252
US

IV. Provider business mailing address

10188 E WINTER SUN DR
SCOTTSDALE AZ
85262-3105
US

V. Phone/Fax

Practice location:
  • Phone: 480-500-8869
  • Fax:
Mailing address:
  • Phone: 509-220-9391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLIAC-15180
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-19048
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: