# AZ HOLISTIC ANXIETY TREATMENT, LLC

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

## Provider details

- **NPI number:** 1942013420
- **Authorized official:** JAMIE GUSTAFSON APRN (PMHNP-BC)
- **Authorized official phone:** (480) 462-5272

## Contact information

- **Practice address:** 10245 E VIA LINDA STE 225, SCOTTSDALE, AZ 85258-5345
- **Practice address phone:** (480) 462-5272
- **Mailing address:** 1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
- **Mailing address phone:** (480) 462-5272

## 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:** 01/29/2025
- **Last updated:** 01/29/2025