Healthcare Provider Details
I. General information
NPI: 1861770950
Provider Name (Legal Business Name): STRATEGIC MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/25/2011
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8160 E BUTHERUS DR STE 7
SCOTTSDALE AZ
85260-2523
US
IV. Provider business mailing address
8160 E BUTHERUS DR STE 7
SCOTTSDALE AZ
85260-2523
US
V. Phone/Fax
- Phone: 602-377-7326
- Fax:
- Phone: 602-377-7326
- Fax: 480-499-5526
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DIANA
LYNN
SIMMONS
Title or Position: CEO
Credential:
Phone: 623-512-8949