Provider Demographics
NPI:1669073920
Name:TUSA MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:TUSA MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:N
Authorized Official - Last Name:ANAGHO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:919-673-3666
Mailing Address - Street 1:1627 SOUTH CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326
Mailing Address - Country:US
Mailing Address - Phone:919-673-3666
Mailing Address - Fax:
Practice Address - Street 1:7248 W ST CATHERINE AVE
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2693
Practice Address - Country:US
Practice Address - Phone:919-673-3666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty