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General NPI Number Information
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NPI Number | 1386385607
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Entity Type | Organization
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Legal Business Name | VALLEY MENTAL HEALTH & PSYCHIATRIC SERVICES, LLC
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Dates
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Enumeration Date | 04/02/2022
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 1717 WEST NORTHERN AVE SUITE 107
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City | PHOENIX
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State | AZ
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Zip | 85021
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Country | US
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Telephone | 480-559-1215
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 N ALSAP RD
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City | BUCKEYE
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State | AZ
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Zip | 85396-1665
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Country | US
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Telephone | 602-399-0134
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | DR. AIMEE VMPS
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Credential | NP
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Telephone | 480-559-1215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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