PHOENIX MENTAL HEALTH AND WELLNESS PLLC NPI 1396227609

NPI Information

  • NPI: 1396227609
  • Provider Name: PHOENIX MENTAL HEALTH AND WELLNESS PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 914 N SAN FRANCISCO ST STE D
    FLAGSTAFF, AZ
    ZIP 86001
  • Phone: (928) 985-1495

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NPI Details

PHOENIX MENTAL HEALTH AND WELLNESS PLLC is a psychiatric/mental health nurse practitioner in Flagstaff, AZ. PHOENIX MENTAL HEALTH AND WELLNESS PLLC NPI is 1396227609. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

914 N SAN FRANCISCO ST STE D
FLAGSTAFF, AZ
ZIP 86001-254
Phone: (928) 985-1495
Fax: (985) 597-5198

The provider's authorized official is Lynn Cooper Johnson .
The authorized official title is Pmhnp and has the following contact phone number (928) 985-1495.

The enumeration date for this NPI number is 9/4/2018 and was last updated on 3/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAP11496ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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