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Organization
PHOENIX MENTAL HEALTH SERVICES LLC
Active
Organization
PHOENIX MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEAGAN VICTORIA JEAN PRUDEN MSN, PMHNP-BC (OWNER)
(323) 370-4917
Entity
Organization
Contact information
Practice address
2180 S BEVERLY GLEN BLVD, LOS ANGELES, CA 90025-6048
(323) 370-4917
(323) 372-3127
Mailing address
10000 WASHINGTON BLVD, CULVER CITY, CA 90232-2781
(323) 370-4917
(323) 372-3127
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/21/2026
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