Healthcare Provider Details

I. General information

NPI: 1760181614
Provider Name (Legal Business Name): LUKE O'KEEFE RYAN LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2023
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 E BROADWAY BLVD STE 200
TUCSON AZ
85716-5341
US

IV. Provider business mailing address

1500 N PRIEST DR
TEMPE AZ
85288-1213
US

V. Phone/Fax

Practice location:
  • Phone: 520-305-9735
  • Fax:
Mailing address:
  • Phone: 833-719-0886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-24441
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: