# MIND & SOUL COUNSELING SERVICES LLC

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

## Provider details

- **NPI number:** 1962095927
- **Authorized official:** CHURICE WESTBROOK MC, LPC (OWNER)
- **Authorized official phone:** (480) 229-6053

## Contact information

- **Practice address:** 1845 S DOBSON RD STE 101, MESA, AZ 85202-5662
- **Practice address phone:** (480) 229-6053
- **Mailing address:** 1845 S DOBSON RD STE 101, MESA, AZ 85202-5662
- **Mailing address phone:** (480) 229-6053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2021
- **Last updated:** 01/22/2024