Organization
PHOENIX FAMILY PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN LERVOLD PMHNP-BC (OWNER/PROVIDER)
(623) 352-9681
Entity
Organization
Contact information
Practice address
12725 W INDIAN SCHOOL RD STE E101, AVONDALE, AZ 85392-9525
(623) 352-9681
(623) 283-5685
Mailing address
12725 W INDIAN SCHOOL RD STE E101, AVONDALE, AZ 85392-9525
(623) 352-9681
(623) 283-5685
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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