Provider Demographics
NPI:1134001720
Name:SWEET WATER PSYCHIATRY LLC
Entity type:Organization
Organization Name:SWEET WATER PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER (SOLO PRACTICE)
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:OJOYE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:623-217-2948
Mailing Address - Street 1:101 NORTH FIRST AVENUE
Mailing Address - Street 2:SUITE 2325-1224
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85003-1903
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 NORTH FIRST AVENUE
Practice Address - Street 2:SUITE 2325-1224
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-1903
Practice Address - Country:US
Practice Address - Phone:623-217-2948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty