Healthcare Provider Details

I. General information

NPI: 1083530695
Provider Name (Legal Business Name): CRAIG MAHAFFY LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8686 E SAN ALBERTO
SCOTTSDALE AZ
85258-4380
US

IV. Provider business mailing address

607 N PIONEER CIR
MESA AZ
85203-6341
US

V. Phone/Fax

Practice location:
  • Phone: 602-550-0175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-24806
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: