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Organization
QUEEN PALM BEHAVIORAL HEALTH LLC
Active
Organization
QUEEN PALM BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY OWENS PMHNP-BC (OWNER)
(414) 737-1036
Entity
Organization
Contact information
Practice address
20212 N VALENCIA DR, MARICOPA, AZ 85138-5488
(602) 456-0031
Mailing address
20212 N VALENCIA DR, MARICOPA, AZ 85138-5488
(602) 456-0031
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
07/31/2026
Last updated
07/31/2026
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