Provider Demographics
NPI:1316586928
Name:REACH MENTAL HEALTH PLLC
Entity Type:Organization
Organization Name:REACH MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:AUDREY
Authorized Official - Last Name:ERSPAMER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, PMHNP-BC
Authorized Official - Phone:520-678-6019
Mailing Address - Street 1:PO BOX 820
Mailing Address - Street 2:
Mailing Address - City:BISBEE
Mailing Address - State:AZ
Mailing Address - Zip Code:85603-0820
Mailing Address - Country:US
Mailing Address - Phone:520-678-6019
Mailing Address - Fax:559-235-7466
Practice Address - Street 1:5100 E HIGHWAY 90 STE B
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2444
Practice Address - Country:US
Practice Address - Phone:520-678-6019
Practice Address - Fax:559-235-7466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-30
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ369078Medicaid