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Organization

SEA CHANGE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY ANNE POPKEY MA, LPC, CEDS, SEP (LICENSED PROFESSIONAL COUNSELOR)
(480) 390-1409
Entity
Organization

Contact information

Practice address
8160 E BUTHERUS DR STE 5, SCOTTSDALE, AZ 85260-2523
(480) 390-1409
(480) 383-6825
Mailing address
8160 E BUTHERUS DR STE 5, SCOTTSDALE, AZ 85260-2523
(480) 390-1409
(480) 383-6825

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
884628
AZ
Enumeration date
03/23/2022
Last updated
08/20/2026
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