Provider Demographics
NPI:1619535507
Name:MINDWORKS THERAPY SERVICES
Entity Type:Organization
Organization Name:MINDWORKS THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LISW
Authorized Official - Prefix:
Authorized Official - First Name:MACKENZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-830-1410
Mailing Address - Street 1:3301 CEDAR HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-6041
Mailing Address - Country:US
Mailing Address - Phone:319-519-1335
Mailing Address - Fax:319-519-0524
Practice Address - Street 1:110 PLAZA CIR STE B
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-5139
Practice Address - Country:US
Practice Address - Phone:319-830-1410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty