Healthcare Provider Details

I. General information

NPI: 1912026436
Provider Name (Legal Business Name): CRISIS PREPARATION AND RECOVERY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3260 N HAYDEN RD #101
SCOTTSDALE AZ
85251-6649
US

IV. Provider business mailing address

3260 N HAYDEN RD 101
SCOTTSDALE AZ
85251-6649
US

V. Phone/Fax

Practice location:
  • Phone: 480-804-0326
  • Fax: 480-804-0083
Mailing address:
  • Phone: 480-804-0326
  • Fax: 480-804-0083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-10884
License Number StateAZ

VIII. Authorized Official

Name: MS. PAM J CAIN
Title or Position: CRISIS COUNSELOR
Credential: LPC
Phone: 480-804-0326