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Organization
PHOENIX MENTAL HEALTH AND WELLNESS PLLC
Active
Organization
PHOENIX MENTAL HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY CLOYD (SECRETARY)
(763) 330-4953
Entity
Organization
Contact information
Practice address
3839 N 3RD ST STE 104, PHOENIX, AZ 85012-2068
(928) 985-1495
Mailing address
2450 S WHITE MOUNTAIN RD STE 3, SHOW LOW, AZ 85901-7384
(928) 985-1495
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP11496
AZ
Other
Enumeration date
09/04/2018
Last updated
06/02/2026
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