Organization
STATE OF MIND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RICHARD LENTZ FNP-BC/PMHNP-BC (OWNER)
(317) 607-4355
Entity
Organization
Contact information
Practice address
7251 S STATE ROAD 75, CUTLER, IN 46920-9617
(317) 607-4355
Mailing address
7251 S STATE ROAD 75, CUTLER, IN 46920-9617
(317) 607-4355
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/14/2025
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