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General NPI Number Information
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NPI Number | 1902680127
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Entity Type | Organization
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Legal Business Name | ACHIEVING TRANQUILITY MENTAL HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 14441 W MCDOWELL RD STE B102
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City | GOODYEAR
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State | AZ
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Zip | 85395-2519
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Country | US
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Telephone | 480-504-7878
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Fax | 480-504-0115
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Provider Business Mailing Address
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Address Line | 14441 W MCDOWELL RD STE B102
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City | GOODYEAR
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State | AZ
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Zip | 85395-2519
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Country | US
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Telephone | 480-504-7878
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Fax | 480-504-0115
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Authorized Official
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Title or Position | CEO
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Name | KATHRYN J GOSHORN
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Credential | NP
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Telephone | 480-504-7878
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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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