# AYA MENTAL HEALTH CONSULTANT & TREATMENT SERVICES LLC

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

## Provider details

- **NPI number:** 1275244675
- **Authorized official:** GUYLENE JOSEPH (OWNER)
- **Authorized official phone:** (480) 382-8309

## Contact information

- **Practice address:** 3101 N CENTRAL AVE STE 183, PHOENIX, AZ 85012-3616
- **Practice address phone:** (480) 382-8309
- **Mailing address:** 5201 SAINT CROIX CT, RICHARDSON, TX 75082-4133

## 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:** 12/07/2022
- **Last updated:** 12/07/2022