Organization · Type 2 NPI
Ultimate Physical and Mental Health Clinic LLC
Adult Mental Health Clinic/Center · Peoria, AZ
NPI number
1376276360
Active
Practice location
13350 N 94th Dr Ste B102
Peoria, AZ 85381-4826
Mailing address
16336 W Moreland St
Goodyear, AZ 85338-6291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1376276360
Ultimate Physical and Mental Health Clinic LLC's National Provider Identifier is 1376276360, issued on Jul 6, 2022. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Peoria, AZ. The record was last updated on Apr 22, 2026.