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Organization
MIND 247 PRACTICE LLC
Active
Organization
MIND 247 PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK D BRAATZ (CREDENTIALING SPECIALIST)
(844) 646-3247
Entity
Organization
Contact information
Practice address
1220 S HIGLEY RD STE 201, MESA, AZ 85206-4002
(844) 646-3247
(480) 546-4048
Mailing address
PO BOX 459, HIGLEY, AZ 85236-0459
(844) 646-3247
(480) 805-1518
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
08/05/2026
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