Organization
THE MIND BODY COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN MARTINEZ LPC (CLINICAL DIRECTOR - CLINICIAN)
(928) 247-9602
Entity
Organization
Contact information
Practice address
1405 W 16TH ST STE G, YUMA, AZ 85364-4578
(928) 247-9602
Mailing address
1405 W 16TH ST STE G, YUMA, AZ 85364-4578
(928) 247-9602
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/15/2022
Last updated
07/20/2023
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