Individual
PARIS MANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC, MSN, RN
Contact information
Practice address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(480) 667-7430
Mailing address
12350 W CAMELBACK RD UNIT 70, LITCHFIELD PARK, AZ 85340-5634
(623) 256-2136
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
299750
AZ
Other
Enumeration date
08/19/2021
Last updated
11/08/2023
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