Organization
QUACK HEALTH PLLC
Active
Other names
My Buoyant Health
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HORNING PMHNP (OWNER)
(602) 503-2832
Entity
Organization
Contact information
Practice address
3404 W CHERYL DR STE A150, PHOENIX, AZ 85051-9615
(602) 510-6582
(888) 571-5760
Mailing address
3404 W CHERYL DR STE A150, PHOENIX, AZ 85051-9615
(602) 503-2832
(888) 571-5760
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/15/2023
Last updated
03/04/2026
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