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Organization
MGT PSYCH LLC
Active
Organization
MGT PSYCH LLC
Active
Other names
Signature Mobile Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JAMEELAH WILSON NP (OWNER)
(480) 430-0721
Entity
Organization
Contact information
Practice address
7117 E PERALTA CIR, MESA, AZ 85212-9825
(480) 430-0721
Mailing address
7316 E SOUTHERN AVE UNIT 6091, MESA, AZ 85216-5005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
NULL
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/07/2023
Last updated
07/30/2026
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