Organization
MIND 247 PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA LYNN DEPRIEST (DIRECTOR OF CREDENTIALING)
(844) 646-3247
Entity
Organization
Contact information
Practice address
2728 N 24TH ST, PHOENIX, AZ 85008-1050
(844) 646-3247
(480) 546-4048
Mailing address
1465 N SCOTTSDALE RD STE 400, SCOTTSDALE, AZ 85257-3634
(844) 646-3247
(480) 546-4048
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up