# MINDFUL CREATIONS

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

## Provider details

- **NPI number:** 1861218422
- **Authorized official:** MS. TERRI COLLINS PMHNP-BC, MSN-ED, (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (773) 395-8779

## Contact information

- **Practice address:** 2157 E EMELITA AVE, MESA, AZ 85204-4519
- **Practice address phone:** (773) 395-8779
- **Mailing address:** PO BOX 6095, MESA, AZ 85216-6095
- **Mailing address phone:** (773) 395-8779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2024
- **Last updated:** 12/20/2024