# SPG PM2 SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SPG PM2 Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669110623
- **Authorized official:** DR. SHAWN PATRICK GALLAGHER PMHNP-BC, FNP-BC (PSYCHIATRIC-MENTAL HEALTH NP/OWNER)
- **Authorized official phone:** (210) 380-2107

## Contact information

- **Practice address:** 2587 N BEVERLY PL, BUCKEYE, AZ 85396-1793
- **Practice address phone:** (210) 380-2107
- **Mailing address:** 2587 N BEVERLY PL, BUCKEYE, AZ 85396-1793
- **Mailing address phone:** (210) 380-2107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2022
- **Last updated:** 05/20/2022