# HEALTH AND WELLNESS PSYCHIATRY

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

## Provider details

- **NPI number:** 1598360638
- **Authorized official:** CONNIE DECKER (CREDENTIALING MANAGER)
- **Authorized official phone:** (480) 269-2971

## Contact information

- **Practice address:** 4001 E BASELINE RD STE 204, GILBERT, AZ 85234-2743
- **Practice address phone:** (480) 565-6440
- **Practice address fax:** (480) 452-0691
- **Mailing address:** 70 S VAL VISTA DR STE A3-659, GILBERT, AZ 85296-1374
- **Mailing address phone:** (480) 269-2971
- **Mailing address fax:** (480) 452-0691

## 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:** 12/04/2020
- **Last updated:** 12/04/2020