Organization
OPEN MINDS HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L LORE LCSW (OWNER)
(480) 772-6016
Entity
Organization
Contact information
Practice address
4864 E BASELINE RD STE 109, MESA, AZ 85206-4629
(480) 863-6346
(480) 716-4081
Mailing address
1750 W ROOSEVELT AVE, COOLIDGE, AZ 85128-9266
(480) 772-6016
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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