# OPTIMUS BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073393153
- **Authorized official:** FLORA ISSANDA STOWATER PSYCH NP (OWNER/PROVIDER)
- **Authorized official phone:** (480) 840-4777

## Contact information

- **Practice address:** 4600 E WASHINGTON ST STE 300, PHOENIX, AZ 85034-1908
- **Practice address phone:** (480) 840-4777
- **Mailing address:** PO BOX 697, LAVEEN, AZ 85339-0697
- **Mailing address phone:** (480) 840-4777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2023
- **Last updated:** 10/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1700274321 | — | AZ |