# ULTIMATE PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ultimate Psychiatry PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083462378
- **Authorized official:** ANNABEL OWUSU (OWNER)
- **Authorized official phone:** (832) 819-4378

## Contact information

- **Practice address:** 1155 S POWER RD STE 114, MESA, AZ 85206-3716
- **Practice address phone:** (832) 819-4378
- **Practice address fax:** (253) 954-3116
- **Mailing address:** 4257 S SOBOBA ST, GILBERT, AZ 85297-8263
- **Mailing address phone:** (832) 819-4378
- **Mailing address fax:** (253) 954-3116

## 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:** 05/10/2024
- **Last updated:** 05/10/2024