Organization
AHP PSYCH NP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BLACK PMHNP (OWNER/PMHNP)
(951) 623-7194
Entity
Organization
Contact information
Practice address
1910 S STAPLEY DR STE 120, MESA, AZ 85204-6676
(602) 341-3303
Mailing address
1910 S STAPLEY DR STE 120, MESA, AZ 85204-6676
(602) 341-3303
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
03/04/2025
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