Act Mental Health Services, LLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Lake Havasu City, AZ

NPI 1992285852 · NPPES record last updated Aug 20, 2018

Key facts

NPI
1992285852
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
ACT MENTAL HEALTH SERVICES, LLC
Practice address
30 Acoma Blvd S
Lake Havasu City, AZ 86403-5957
Phone
(855) 647-4228
NPI assigned
Aug 20, 2018
Organization subpart
No

Authorized official

Name
Ms. June Ann Staley, PMHNP-BC
Title
President
Phone
(855) 647-4228

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

30 Acoma Blvd S
Lk Havasu Cty, AZ 86403
Phone (855) 647-4228

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

30 Acoma Blvd S
Lake Havasu City, AZ 86403-5957

Mailing address

2924 Pony Dr
Lake Havasu City, AZ 86406-8432
Phone (507) 380-7218

Other providers in Lake Havasu City, AZ

All providers in Lake Havasu City, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona

Sources for this page

Verify at the official NPI Registry.