# PIMA BEHAVIORAL HEALTH PLLC

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

## Provider details

- **NPI number:** 1548906662
- **Authorized official:** JONATHAN RESILLE (OWNER)
- **Authorized official phone:** (520) 355-1122

## Contact information

- **Practice address:** 5425 N ORACLE RD STE 115, TUCSON, AZ 85704-3898
- **Practice address phone:** (520) 355-1122
- **Practice address fax:** (520) 280-0537
- **Mailing address:** 5425 N ORACLE RD STE 115, TUCSON, AZ 85704-3898
- **Mailing address phone:** (520) 355-1122

## 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:** 05/11/2022
- **Last updated:** 05/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 240268 | NP LICENSE | AZ |