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Organization
MIRA PSYCHIATRY GROUP PLLC
Active
Organization
MIRA PSYCHIATRY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MATHEW FNP-C, PMHNP-C (OWNER)
(480) 900-0965
Entity
Organization
Contact information
Practice address
405 W SOUTHERN AVE STE 105, TEMPE, AZ 85282-4500
(480) 900-0965
Mailing address
22424 S ELLSWORTH LOOP RD UNIT 784, QUEEN CREEK, AZ 85142-7107
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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