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Organization
MENDING MINDS, LLC
Active
Organization
MENDING MINDS, LLC
Active
Other names
Walnut Creek Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY CHIDESTER (OFFICE MANAGER)
(515) 368-7504
Entity
Organization
Contact information
Practice address
5408 NW 88TH ST STE 140, JOHNSTON, IA 50131-2953
(515) 368-7504
(515) 355-3491
Mailing address
5408 NW 88TH ST STE 140, JOHNSTON, IA 50131-2953
(515) 368-7504
(515) 355-3491
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
08/14/2024
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