# PHOENIX MENTAL HEALTH AND WELLNESS PLLC

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

## Provider details

- **NPI number:** 1396227609
- **Authorized official:** STACY CLOYD (SECRETARY)
- **Authorized official phone:** (763) 330-4953

## Contact information

- **Practice address:** 3839 N 3RD ST STE 104, PHOENIX, AZ 85012-2068
- **Practice address phone:** (928) 985-1495
- **Mailing address:** 2450 S WHITE MOUNTAIN RD STE 3, SHOW LOW, AZ 85901-7384
- **Mailing address phone:** (928) 985-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP11496 | AZ | Yes |

## Other

- **Enumeration date:** 09/04/2018
- **Last updated:** 06/02/2026