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
03/23/2022
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