Healthcare Provider Details

I. General information

NPI: 1972621357
Provider Name (Legal Business Name): S.E.E.K. ARIZONA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1834 E BASELINE RD STE 101
TEMPE AZ
85283-1508
US

IV. Provider business mailing address

1834 E BASELINE RD STE 101
TEMPE AZ
85283-1508
US

V. Phone/Fax

Practice location:
  • Phone: 480-902-0771
  • Fax: 602-806-7229
Mailing address:
  • Phone: 480-902-0771
  • Fax: 602-795-1663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MS. JESSICA IRWIN
Title or Position: CEO
Credential: BCBA
Phone: 480-902-0771