# MINDTALITY LLC

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

## Provider details

- **NPI number:** 1922715390
- **Authorized official:** JEWEL SON (MANAGING MEMBER)
- **Authorized official phone:** (714) 451-4880

## Contact information

- **Practice address:** 1100 W TOWN AND COUNTRY RD STE 1239, ORANGE, CA 92868-4600
- **Practice address phone:** (714) 451-4880
- **Mailing address:** 1100 W TOWN AND COUNTRY RD STE 1239, ORANGE, CA 92868-4600

## 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:** 11/03/2022
- **Last updated:** 11/07/2022