MEDICARE: MOYA MENTAL HEALTH SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1730964172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOYA MENTAL HEALTH SERVICES PLLC

Provider Business Mailing Address
First Line	:	PO BOX 44854
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85064-4854
Country	:	US
Telephone Number	:	980-335-8094
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 N HAYDEN RD STE 103
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-2326
Country	:	US
Telephone Number	:	980-335-8094
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH PROVIDER/OWNER
Name	:	MRS. NYANYIWA VIMBA
Credential	:	PMHNP
Telephone Number	:	480-810-3009

Provider Enumeration Date	:	08/25/2023
Last Update Date	:	01/21/2024

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