# STATE 48 PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1952205734
- **Authorized official:** MARK SKOUSEN PMHNP (OWNER)
- **Authorized official phone:** (480) 586-0035

## Contact information

- **Practice address:** 501 S MAIN ST, SNOWFLAKE, AZ 85937-5251
- **Practice address phone:** (480) 586-0035
- **Mailing address:** 1745 W WESTERN DOVE DR, SNOWFLAKE, AZ 85937-6185
- **Mailing address phone:** (480) 586-0035

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2026
- **Last updated:** 10/06/2026