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Organization
SHAMLOCK NURSING SERVICES LLC
Active
Organization
SHAMLOCK NURSING SERVICES LLC
Active
Other names
Shamlock Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERUBO HAPPINESS NYACHIEO PMHNP (OWNER)
(410) 660-5117
Entity
Organization
Contact information
Practice address
4015 W SALTER DR, GLENDALE, AZ 85308-2078
(410) 660-5117
Mailing address
4015 W SALTER DR, GLENDALE, AZ 85308-2078
(410) 660-5117
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
12/01/2025
Last updated
01/02/2026
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