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General NPI Number Information
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NPI Number | 1477343572
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Entity Type | Organization
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Legal Business Name | FORZA BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 5215 N SABINO CANYON RD STE 137
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City | TUCSON
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State | AZ
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Zip | 85750-6435
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Country | US
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Telephone | 925-249-8539
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Fax |
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Provider Business Mailing Address
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Address Line | 5215 N SABINO CANYON RD STE 137
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City | TUCSON
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State | AZ
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Zip | 85750-6435
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Country | US
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Telephone | 925-249-8539
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC/OWNER
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Name | EVA CHARISSA GILLESPIE
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Credential | NP
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Telephone | 925-249-8539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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