Organization
HEALTHY MINDS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESHAWN Y BRYANT (OWNER)
(702) 557-0050
Entity
Organization
Contact information
Practice address
1114 W MCDOWELL RD, PHOENIX, AZ 85007-1748
(602) 334-1041
(602) 825-1325
Mailing address
1114 W MCDOWELL RD, PHOENIX, AZ 85007-1748
(602) 334-1041
(602) 825-1325
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC12763
AZDHS
AZ
Enumeration date
04/10/2023
Last updated
01/29/2024
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