Organization
MANA PSYCHIATRY LLC
Active
Other names
Mana Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REY JERICOH MANALESE DNP (PMHNP FNP)
(623) 313-6573
Entity
Organization
Contact information
Practice address
18001 N 79TH AVE STE C61, GLENDALE, AZ 85308-6038
(623) 224-2403
(623) 267-0591
Mailing address
9627 W POTTER DR, PEORIA, AZ 85382-5157
(623) 313-6573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
03/11/2025
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