# EAST VALLEY MENTAL WELLNESS PLLC

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

## Provider details

- **NPI number:** 1891043311
- **Authorized official:** ANN MARIE CASEY PMHNP (MEMBER)
- **Authorized official phone:** (480) 570-0497

## Contact information

- **Practice address:** 1166 E WARNER RD, SUITE 101, GILBERT, AZ 85296-3064
- **Practice address phone:** (480) 570-0497
- **Practice address fax:** (480) 452-0145
- **Mailing address:** 1166 E WARNER RD, SUITE 101, GILBERT, AZ 85296-3064
- **Mailing address phone:** (480) 570-0497
- **Mailing address fax:** (480) 452-0145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP4476 | AZ | Yes |

## Other

- **Enumeration date:** 08/15/2012
- **Last updated:** 11/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 726497 | — | AZ |