Organization
SUNSHINE VALLEY PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GREGORY SONENSCHEIN NURSE PRACTITIONER (PMHNP-BC)
(623) 329-3550
Entity
Organization
Contact information
Practice address
7600 N. 15TH STREET, SUITE 150, PHOENIX, AZ 85020
(623) 329-3550
Mailing address
2760 W PEORIA AVE, PHOENIX, AZ 85029-5202
(623) 329-3550
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124735006
—
AZ
05
—
1457816597
—
AZ
Enumeration date
07/03/2023
Last updated
07/03/2023
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