# MAPO WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1952087637
- **Authorized official:** HORTENSE BISSILA PMHNP (OWNER)
- **Authorized official phone:** (901) 800-1037

## Contact information

- **Practice address:** 4494 W PEORIA AVE STE 13-115A, GLENDALE, AZ 85302-2023
- **Practice address phone:** (901) 800-1037
- **Mailing address:** 8225 ROCKCREEK PKWY, CORDOVA, TN 38016-4594
- **Mailing address phone:** (901) 800-1037

## 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:** 06/26/2023
- **Last updated:** 06/26/2023