# EQUITY BEHAVIORAL HEALTH, LLC

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

## Provider details

- **NPI number:** 1992451744
- **Authorized official:** MS. MARILYN ANN STAIRES PMHNP-BC (PROVIDER, OWNER)
- **Authorized official phone:** (401) 480-5544

## Contact information

- **Practice address:** 334 W 10TH PL STE 104, MESA, AZ 85201-3499
- **Practice address phone:** (401) 480-5544
- **Mailing address:** 334 W 10TH PL STE 104, MESA, AZ 85201-3499
- **Mailing address phone:** (401) 480-5544

## 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:** 03/01/2022
- **Last updated:** 03/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1962724799 | — | AZ |