Organization
EMERGENT MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MARDULA LPC-20609 (OWNER)
(623) 278-4610
Entity
Organization
Contact information
Practice address
17404 N JAVELINA DR, SURPRISE, AZ 85374-2955
(623) 278-4610
Mailing address
17404 N JAVELINA DR, SURPRISE, AZ 85374-2955
(623) 278-4610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/26/2024
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