Provider Demographics
NPI:1548088420
Name:REMEDY MENTAL HEALTH AZ
Entity type:Organization
Organization Name:REMEDY MENTAL HEALTH AZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:623-221-3179
Mailing Address - Street 1:929 N VAL VISTA DR STE 109
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-3701
Mailing Address - Country:US
Mailing Address - Phone:602-525-3342
Mailing Address - Fax:480-542-5229
Practice Address - Street 1:1142 W DUBLIN ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-3598
Practice Address - Country:US
Practice Address - Phone:602-525-3342
Practice Address - Fax:480-542-5229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty