Organization
UNTANGLED MINDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY GONZALEZ LCPC (OWNER)
(618) 468-8069
Entity
Organization
Contact information
Practice address
807 W HIGHWAY 50 STE 3, O FALLON, IL 62269-1856
(618) 468-8069
Mailing address
807 W HIGHWAY 50 STE 3, O FALLON, IL 62269-1856
(618) 468-8069
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
06/04/2023
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