Healthcare Provider Details

I. General information

NPI: 1235743774
Provider Name (Legal Business Name): RHASHANNA MCCOMBS MSC, LPC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2020
Last Update Date: 05/18/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12211 W BELL RD STE 205
SURPRISE AZ
85378-9522
US

IV. Provider business mailing address

8605 N 59TH AVE APT 1060
GLENDALE AZ
85302-5400
US

V. Phone/Fax

Practice location:
  • Phone: 520-485-7893
  • Fax:
Mailing address:
  • Phone: 602-301-9816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number259024
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number21630
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: