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Organization
CHANGING MINDS PSYCHIATRY AZ LLC
Active
Organization
CHANGING MINDS PSYCHIATRY AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE BROWN (BUSINESS MANAGER)
(702) 405-8088
Entity
Organization
Contact information
Practice address
1204 E BASELINE RD STE 101, TEMPE, AZ 85283-1447
(702) 405-8088
Mailing address
PO BOX 752003, LAS VEGAS, NV 89136-2003
(702) 405-8088
(702) 405-6066
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
05/06/2026
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