Provider Demographics
NPI:1952075590
Name:NP PSYCH AND MENTAL HEALTH PLLC
Entity Type:Organization
Organization Name:NP PSYCH AND MENTAL HEALTH PLLC
Other - Org Name:NP PSYCH AND MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KEIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-661-7550
Mailing Address - Street 1:3707 E SOUTHERN AVE STE 501
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-2569
Mailing Address - Country:US
Mailing Address - Phone:602-661-7550
Mailing Address - Fax:602-661-7554
Practice Address - Street 1:3707 E SOUTHERN AVE STE 501
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-2569
Practice Address - Country:US
Practice Address - Phone:602-661-7550
Practice Address - Fax:602-661-7554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty