# MENDING MINDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Walnut Creek Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245833565
- **Authorized official:** HILLARY CHIDESTER (OFFICE MANAGER)
- **Authorized official phone:** (515) 368-7504

## Contact information

- **Practice address:** 5408 NW 88TH ST STE 140, JOHNSTON, IA 50131-2953
- **Practice address phone:** (515) 368-7504
- **Practice address fax:** (515) 355-3491
- **Mailing address:** 5408 NW 88TH ST STE 140, JOHNSTON, IA 50131-2953
- **Mailing address phone:** (515) 368-7504
- **Mailing address fax:** (515) 355-3491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2020
- **Last updated:** 08/14/2024