Organization
SHAMLOCK NURSING SERVICES LLC
Active
Other names
Shamlock Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERUBO HAPPINESS NYACHIEO PMHNP (OWNER)
(410) 660-5117
Entity
Organization
Contact information
Practice address
4015 W SALTER DR, GLENDALE, AZ 85308-2078
(410) 660-5117
Mailing address
4015 W SALTER DR, GLENDALE, AZ 85308-2078
(410) 660-5117
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
01/02/2026
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