# DESERT SPRING BEHAVIORAL HEALTH, LLC

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

## Provider details

- **NPI number:** 1962803270
- **Authorized official:** LISA MARIE MRZENA PMHNP-BC (CLINICAL DIRECTOR)
- **Authorized official phone:** (907) 301-6668

## Contact information

- **Practice address:** 290 N WILLOW ST, WASILLA, AK 99654-7042
- **Practice address phone:** (907) 203-1590
- **Mailing address:** PO BOX 876023, WASILLA, AK 99687-6023
- **Mailing address phone:** (907) 203-1590
- **Mailing address fax:** (435) 674-9380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | 6593775-4405 | UT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2014
- **Last updated:** 06/16/2021