Tucson
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP
Fourth Wall Wellness
Psychiatric Nurse Practitioner, PMHNP
(520) 264-5999
or
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP

Fourth Wall Wellness

Psychiatric Nurse Practitioner, PMHNP

Verified by Psychology Today Verified by Psychology Today
6137 East Grant Road, Tucson, AZ 85712
(520) 264-5999
Let's Connect (520) 264-5999
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP
Our mission at Fourth Wall Wellness seeks to uniquely explore whole health wellness through physical and mental health support. With a commitment to enhancing well-being, our expert team offers compassionate support for those seeking healing and personal growth. Explore our diverse range of services, including psychotherapy, mental health care, medication management, weight management, and hormone treatment. Our services are all designed to cater to your individual needs and promote overall wellness.
We proudly offer in-person microdosing at home ketamine therapy, as well as ketamine assisted psychotherapy sessions with our licensed clinicians. Ketamine helps people overcome conditions like depression, anxiety, PTSD, chronic pain, and even alcohol use disorder.
Fourth Wall Wellness providers include Nurse Practitioners and Psychotherapists with different specialty araes, who are passionate in their desire to meet our clients where they are, supporting them in pursuing their personal health goals.
Call or Fourth Wall Wellness now for a free 15 minute consultation - (520) 264-5999

Practice at a Glance

Available both in-person and online

6137 East Grant Road

Tucson, AZ 85712 map

 (520) 264-5999
Website
We offer at-home microdosed Ketamine treatments, as well as in person Ketamine assisted therapy sessions.
I specialize in Medication Management, Mood Disorders and Weight Loss 
Initial Session Fee $240, Standard Visit $120, I accept insurance 
I see individuals and couples  
Let's Connect (520) 264-5999
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP

Practice at a Glance

Available both in-person and online

6137 East Grant Road

Tucson, AZ 85712 map

 (520) 264-5999
Website
We offer at-home microdosed Ketamine treatments, as well as in person Ketamine assisted therapy sessions.
I specialize in Medication Management, Mood Disorders and Weight Loss 
Initial Session Fee $240, Standard Visit $120, I accept insurance 
I see individuals and couples  

Finances

Fees

  • Initial Session Fee $240
  • Standard Visit $120

Payment Methods

American Express, Discover, Mastercard, Visa

Insurance

  • Aetna
  • BlueCross and BlueShield
  • Cigna and Evernorth
  • Optum
  • UnitedHealthcare UHC | UBH
"
Our practice is in-network with major insurance providers including Blue Cross Blue Shield (BCBS), Aetna, and United Healthcare. We're happy to verify your benefits before your first appointment to help you understand what services are covered and what your out-of-pocket costs may be.
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP
Fourth Wall Wellness
Psychiatric Nurse Practitioner, PMHNP
Call or for a free 15 minute consultation now - (520) 264-5999
"
Our practice is in-network with major insurance providers including Blue Cross Blue Shield (BCBS), Aetna, and United Healthcare. We're happy to verify your benefits before your first appointment to help you understand what services are covered and what your out-of-pocket costs may be.
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP
Fourth Wall Wellness
Psychiatric Nurse Practitioner, PMHNP
Call or for a free 15 minute consultation now - (520) 264-5999

Qualifications

    Psychiatric Nurse Practitioner: River Baltimore Tammetta
  • Verified by Psychology Today License: Arizona / 1689387631 River Baltimore Tammetta
"
My interest in the medical field began during my 15 year Army career. However, it wasn't until shortly after my service ended that I was able to attend nursing school. My interest in behavioral health was immediate, and I was employed in a variety of facility types while working on my Master's.
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP
Fourth Wall Wellness
Psychiatric Nurse Practitioner, PMHNP
Call or for a free 15 minute consultation now - (520) 264-5999
"
My interest in the medical field began during my 15 year Army career. However, it wasn't until shortly after my service ended that I was able to attend nursing school. My interest in behavioral health was immediate, and I was employed in a variety of facility types while working on my Master's.
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP
Fourth Wall Wellness
Psychiatric Nurse Practitioner, PMHNP
Call or for a free 15 minute consultation now - (520) 264-5999

Specialties and Expertise

Top Specialties

  • Medication Management
  • Mood Disorders
  • Weight Loss

Expertise

  • ADHD
  • Anxiety
  • Bipolar Disorder
  • Child
  • Depression
  • Eating Disorders
  • Emotional Disturbance
  • Family Conflict
  • First Responders
  • Grief
  • Impulse Control Disorders
  • Life Transitions
  • Personality Disorders
  • Relationship Issues
  • Thinking Disorders
  • Trauma and PTSD
  • Women's Issues
"
I support clients in achieving sustainable weight loss by focusing on nutrition, self-care, and lifestyle changes that promote long-term well-being. I also treat chronic migraines and sleep difficulties, integrating both therapeutic and medication-based approaches to help clients feel more balanced, rested, and in control of their health.
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP
Fourth Wall Wellness
Psychiatric Nurse Practitioner, PMHNP
Call or for a free 15 minute consultation now - (520) 264-5999
"
I support clients in achieving sustainable weight loss by focusing on nutrition, self-care, and lifestyle changes that promote long-term well-being. I also treat chronic migraines and sleep difficulties, integrating both therapeutic and medication-based approaches to help clients feel more balanced, rested, and in control of their health.
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP
Fourth Wall Wellness
Psychiatric Nurse Practitioner, PMHNP
Call or for a free 15 minute consultation now - (520) 264-5999

Client Focus

Age

Children (6 to 10) , 
Preteen , 
Teen , 
Adults

Participants

Individuals , 
Couples

Age

Children (6 to 10) , 
Preteen , 
Teen , 
Adults

Participants

Individuals , 
Couples

Treatment Approach

Types of Therapy

  • At home microdosed Ketamine prescriptions
  • Clinical Supervision and Licensed Supervisors
  • Cognitive Behavioral (CBT)
  • Dialectical Behavior (DBT)
  • Ketamine-Assisted
  • Mediation management
  • Trauma Focused
"
I offer prescription support for a range of mental health conditions, as well as targeted treatments like low dose naltrexone (LDN) for chronic migraines and related concerns. My goal is to create a safe, collaborative space where you feel heard, supported, and empowered to take the next step in your healing.
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP
Fourth Wall Wellness
Psychiatric Nurse Practitioner, PMHNP
Call or for a free 15 minute consultation now - (520) 264-5999
"
I offer prescription support for a range of mental health conditions, as well as targeted treatments like low dose naltrexone (LDN) for chronic migraines and related concerns. My goal is to create a safe, collaborative space where you feel heard, supported, and empowered to take the next step in your healing.
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP
Fourth Wall Wellness
Psychiatric Nurse Practitioner, PMHNP
Call or for a free 15 minute consultation now - (520) 264-5999

Location

Primary Location

6137 East Grant Road

Tucson, AZ 85712

(520) 264-5999

Email us

Website

Nearby Areas

Cities

Counties

Zips

"
We offer at-home microdosed Ketamine treatments, as well as in person Ketamine assisted therapy sessions.
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP
Fourth Wall Wellness
Psychiatric Nurse Practitioner, PMHNP
Call for a free consultation now - (520) 264-5999
"
We offer at-home microdosed Ketamine treatments, as well as in person Ketamine assisted therapy sessions.
Photo of River Tammetta - Fourth Wall Wellness, Psychiatric Nurse Practitioner, PMHNP
Fourth Wall Wellness
Psychiatric Nurse Practitioner, PMHNP
Call for a free consultation now - (520) 264-5999