# ADVANCED MENTAL HEALTH AND WELLNESS PLLC

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

## Provider details

- **NPI number:** 1184488439
- **Authorized official:** LYNN COOPER JOHNSON PMHNP (OWNER/PRACTITIONER)
- **Authorized official phone:** (928) 389-1529

## Contact information

- **Practice address:** 112 S 1ST ST APT A, WILLIAMS, AZ 86046-2561
- **Practice address phone:** (435) 632-8076
- **Mailing address:** 112 S 1ST ST, STE A, WILLIAMS, AZ 86046
- **Mailing address phone:** (928) 389-1529
- **Mailing address fax:** (928) 635-4495

## 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:** 02/07/2024
- **Last updated:** 05/31/2024