Organization
HOLISTIC PSYCHIATRY AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSSAN GOLDSWORTHY (OWNER)
(315) 547-0502
Entity
Organization
Contact information
Practice address
1192 N RANGE RIDER PL, VAIL, AZ 85641-1560
(315) 547-0502
Mailing address
1192 N RANGE RIDER PL, VAIL, AZ 85641-1560
(315) 547-0502
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/01/2025
Last updated
12/23/2025
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