# FOOTHILLS PSYCHIATRIC SERVICES PLLC

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

## Provider details

- **NPI number:** 1750901088
- **Authorized official:** SIMON GEORGE (RN)
- **Authorized official phone:** (316) 209-7731

## Contact information

- **Practice address:** 1921 S ALMA SCHOOL RD STE 312, MESA, AZ 85210-3039
- **Practice address phone:** (480) 608-4877
- **Practice address fax:** (480) 608-4878
- **Mailing address:** 3546 E WINDMERE DR, PHOENIX, AZ 85048-7211
- **Mailing address phone:** (316) 209-7731

## 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:** 04/16/2020
- **Last updated:** 04/30/2021