# CHANGING MINDS PSYCHIATRY AZ LLC

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

## Provider details

- **NPI number:** 1518813666
- **Authorized official:** JAMIE BROWN (BUSINESS MANAGER)
- **Authorized official phone:** (702) 405-8088

## Contact information

- **Practice address:** 1204 E BASELINE RD STE 101, TEMPE, AZ 85283-1447
- **Practice address phone:** (702) 405-8088
- **Mailing address:** PO BOX 752003, LAS VEGAS, NV 89136-2003
- **Mailing address phone:** (702) 405-8088
- **Mailing address fax:** (702) 405-6066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2026
- **Last updated:** 05/06/2026