# AZ BEHAVIORAL

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

## Provider details

- **NPI number:** 1780509349
- **Authorized official:** IHUOMA NWOKE PMHNP (NURSE PRACTITIONER)
- **Authorized official phone:** (602) 688-2191

## Contact information

- **Practice address:** 1330 S AARON, MESA, AZ 85209-3786
- **Practice address phone:** (602) 688-2191
- **Practice address fax:** (602) 688-2191
- **Mailing address:** PO BOX 25444, TEMPE, AZ 85285-5444
- **Mailing address phone:** (602) 688-2191
- **Mailing address fax:** (602) 688-2191

## 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:** 08/12/2026
- **Last updated:** 08/12/2026