# PHOENIX MENTAL HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1083538532
- **Authorized official:** MEAGAN VICTORIA JEAN PRUDEN MSN, PMHNP-BC (OWNER)
- **Authorized official phone:** (323) 370-4917

## Contact information

- **Practice address:** 2180 S BEVERLY GLEN BLVD, LOS ANGELES, CA 90025-6048
- **Practice address phone:** (323) 370-4917
- **Practice address fax:** (323) 372-3127
- **Mailing address:** 10000 WASHINGTON BLVD, CULVER CITY, CA 90232-2781
- **Mailing address phone:** (323) 370-4917
- **Mailing address fax:** (323) 372-3127

## 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:** 08/07/2026
- **Last updated:** 08/21/2026