Organization
AYA MENTAL HEALTH CONSULTANT & TREATMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUYLENE JOSEPH (OWNER)
(480) 382-8309
Entity
Organization
Contact information
Practice address
3101 N CENTRAL AVE STE 183, PHOENIX, AZ 85012-3616
(480) 382-8309
Mailing address
5201 SAINT CROIX CT, RICHARDSON, TX 75082-4133
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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