# BALANCED MENTAL HEALTH OF ARIZONA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1366211971
- **Authorized official:** JENNIFER JANE PETERSON PMHNP-BC (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (623) 205-3505

## Contact information

- **Practice address:** 14122 W MCDOWELL RD STE 203, GOODYEAR, AZ 85395-2505
- **Practice address phone:** (623) 349-1711
- **Practice address fax:** (623) 399-1958
- **Mailing address:** 14122 W MCDOWELL RD STE 203, GOODYEAR, AZ 85395-2505
- **Mailing address phone:** (623) 349-1711
- **Mailing address fax:** (623) 399-1958

## 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:** 12/22/2023
- **Last updated:** 06/02/2026