Provider Demographics
NPI:1730964172
Name:MOYA MENTAL HEALTH SERVICES PLLC
Entity type:Organization
Organization Name:MOYA MENTAL HEALTH SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROVIDER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NYANYIWA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIMBA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:480-810-3009
Mailing Address - Street 1:PO BOX 44854
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85064-4854
Mailing Address - Country:US
Mailing Address - Phone:980-335-8094
Mailing Address - Fax:
Practice Address - Street 1:2501 N HAYDEN RD STE 103
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-2326
Practice Address - Country:US
Practice Address - Phone:980-335-8094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty