# REFORMED MIND HEALTH AND TREATMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205786738
- **Authorized official:** MODUPE R ADEDOJA (OWNER)
- **Authorized official phone:** (480) 901-1202

## Contact information

- **Practice address:** 12725 W INDIAN SCHOOL RD STE E101, AVONDALE, AZ 85392-9525
- **Practice address phone:** (480) 901-1202
- **Mailing address:** 500 N ESTRELLA PKWY STE B2, PMB 439, GOODYEAR, AZ 85338-4136
- **Mailing address phone:** (480) 901-1202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2026
- **Last updated:** 02/03/2026
