Healthcare Provider Details
I. General information
NPI: 1700778727
Provider Name (Legal Business Name): AT LAST PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
405 W SOUTHERN AVE STE 111
TEMPE AZ
85282-4500
US
IV. Provider business mailing address
1530 E WILLIAMS FIELD RD STE 201
GILBERT AZ
85295-1825
US
V. Phone/Fax
- Phone: 520-428-0682
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAUREN
SOFRANKO
Title or Position: OWNER & MANAGING MEMBER
Credential: PMHNP-BC
Phone: 520-428-0682