Organization
MINDFULLY INTEGRATED HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH WICKLUND MD (MEDICAL DIRECTOR)
(480) 562-6600
Entity
Organization
Contact information
Practice address
8585 E HARTFORD DR STE 103, SCOTTSDALE, AZ 85255-5472
(480) 562-6600
(480) 562-6606
Mailing address
PO BOX 11616, GLENDALE, AZ 85318-1616
(480) 562-6600
(480) 562-6606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/26/2018
Last updated
04/21/2021
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