Organization
PHOENIX MENTAL HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN COOPER JOHNSON (PMHNP)
(928) 985-1495
Entity
Organization
Contact information
Practice address
914 N SAN FRANCISCO ST STE D, FLAGSTAFF, AZ 86001-3254
(928) 985-1495
(985) 597-5198
Mailing address
5551 S WHITE MOUNTAIN RD UNIT 2, SHOW LOW, AZ 85901-7449
(928) 985-1495
(928) 597-5198
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP11496
AZ
Other
Enumeration date
09/04/2018
Last updated
03/04/2020
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