Organization
CHANGE OF MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN ANN WILLEVER PMHNP (MANAGING MEMBER)
(480) 686-0170
Entity
Organization
Contact information
Practice address
11331 E STARFIRE CIR, MESA, AZ 85212-7062
(148) 068-6017
Mailing address
11331 E STARFIRE CIR, MESA, AZ 85212-7062
(148) 068-6017
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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