Organization
MIND SPA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK DONALD MURRAY JR. (CEO)
(559) 930-3459
Entity
Organization
Contact information
Practice address
1934 E CAMELBACK RD STE 210, PHOENIX, AZ 85016
(559) 930-3459
(619) 795-3274
Mailing address
1934 E CAMELBACK RD STE 210, PHOENIX, AZ 85016
(559) 930-3459
(619) 795-3274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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