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Organization
HER SEASON BEHAVIORAL WELLNESS AND PSYCHIATRY LLC
Active
Organization
HER SEASON BEHAVIORAL WELLNESS AND PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSEN KELLY NP (OWNER)
(928) 587-1147
Entity
Organization
Contact information
Practice address
2210 S MILL AVE STE 7A, TEMPE, AZ 85282-2153
(928) 587-1147
Mailing address
2077 E WILLIS RD, GILBERT, AZ 85297-2087
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
04/14/2023
Last updated
04/14/2023
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