| Wisemind Wellness, Llc | |
|
20 E Thomas Rd Ste 2200 Phoenix AZ 85012-3133 | |
| (541) 990-2613 | |
| Not Available |
| Full Name | Wisemind Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20 E Thomas Rd Ste 2200, Phoenix, Arizona |
| Authorized Official Name and Position | Nathan Dingeldein (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 5419902613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisemind Wellness, Llc P.o. Box 33784 Phoenix AZ 85067-3784 Ph: (480) 359-5816 | Wisemind Wellness, Llc 20 E Thomas Rd Ste 2200 Phoenix AZ 85012-3133 Ph: (541) 990-2613 |
| NPI Number | 1265025050 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265025050 | NPI | - | NPPES |
| 632705 | Medicaid | AZ |
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