Organization
PURE POTENTIAL MENTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE MARIE MOORES KRISTENSEN PMHNP-BC, FNP-BC (FOUNDER)
(415) 278-1574
Entity
Organization
Contact information
Practice address
1735 E FORT LOWELL RD STE 5, TUCSON, AZ 85719-2358
(520) 230-5262
Mailing address
11201 N TATUM BLVD STE 300, PHOENIX, AZ 85028-6039
(415) 278-1574
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/16/2025
Last updated
09/22/2025
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