Organization
MINDHAVEN PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOPHIA JOLLY PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(480) 269-4469
Entity
Organization
Contact information
Practice address
1166 E WARNER RD STE 206, GILBERT, AZ 85296-3066
(480) 269-4469
Mailing address
2942 N 24TH ST STE 115, PHOENIX, AZ 85016-7849
(480) 269-4469
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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