Organization
ADVANCED MENTAL HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN COOPER JOHNSON PMHNP (OWNER/PRACTITIONER)
(928) 389-1529
Entity
Organization
Contact information
Practice address
112 S 1ST ST APT A, WILLIAMS, AZ 86046-2561
(435) 632-8076
Mailing address
112 S 1ST ST, STE A, WILLIAMS, AZ 86046
(928) 389-1529
(928) 635-4495
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
05/31/2024
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