Organization
MO SMILES LLC
Active
Other names
Balanced Mind Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN TERRY CANDELAS (OFFICE MANAGER)
(303) 582-4157
Entity
Organization
Contact information
Practice address
7200 W BELL RD STE E102, GLENDALE, AZ 85308-8534
(623) 934-9191
Mailing address
7200 W BELL RD STE E102, GLENDALE, AZ 85308-8534
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
04/03/2025
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