Organization · Type 2 NPI

Headlight Mental Healthcare PLLC

Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ

NPI number 1861240202 Active

Practice location

2 N Central Ave Ste 1800
Phoenix, AZ 85004-2139

Fax (480) 781-4866

Other practice locations

  • 555 SE Mlk Blvd Unit 105, Portland, OR 97214-2595 · (541) 581-1080

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1861240202

Headlight Mental Healthcare PLLC's National Provider Identifier is 1861240202, issued on May 10, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 9, 2025.