# LIFE JOURNEY PSYCHIATRIC PLLC

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

## Provider details

- **NPI number:** 1609930932
- **Authorized official:** MS. LANA JEANETTE PETERSON MSN, PSYNP (OWNER)
- **Authorized official phone:** (480) 221-5532

## Contact information

- **Practice address:** 3655 E. BLUEBIRD PLACE, CHANDLER, AZ 85249
- **Practice address phone:** (480) 221-5532
- **Practice address fax:** (480) 726-3795
- **Mailing address:** 3655 E. BLUEBIRD PLACE, CHANDLER, AZ 85249
- **Mailing address phone:** (480) 221-5532
- **Mailing address fax:** (480) 726-3795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN089291 | AZ | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 787757 | — | AZ |