| Mind Over Matter Mental Health, Pllc | |
|
11011 S 48th St Ste 200 Phoenix AZ 85044-1788 | |
| (602) 471-0881 | |
| (480) 584-5497 |
| Full Name | Mind Over Matter Mental Health, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11011 S 48th St Ste 200, Phoenix, Arizona |
| Authorized Official Name and Position | Sally Ann Alexander (NURSE PRACTITIONER) |
| Authorized Official Contact | 6024710881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Over Matter Mental Health, Pllc 4651 E Lavender Ln Phoenix AZ 85044-4815 Ph: (602) 471-0881 | Mind Over Matter Mental Health, Pllc 11011 S 48th St Ste 200 Phoenix AZ 85044-1788 Ph: (602) 471-0881 |
| NPI Number | 1316554678 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 09/30/2020 |
| Certification Date | 09/30/2020 |
| Medicare PECOS PAC ID | 4385054519 |
|---|---|
| Medicare Enrollment ID | O20201029001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316554678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sally A Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417352196 PECOS PAC ID: 8224354709 Enrollment ID: I20150325001408 |
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