Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Family Psychiatry LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1477447050

Phoenix Family Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner in Avondale, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12725 W Indian School Rd Ste E101
Avondale, AZ 85392-9525
Phone: (623) 352-9681
Fax: (623) 283-5685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1477447050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmen Lervold — Owner/Provider · (623) 352-9681
NPI enumeratedJune 6, 2025
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address12725 W Indian School Rd Ste E101, Avondale, AZ 85392-9525

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