Provider Demographics
NPI:1861041733
Name:WIENS, BELINDA (MC, LPC)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:WIENS
Suffix:
Gender:F
Credentials:MC, LPC
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:
Other - Last Name:MOBBS (MAIDEN),1ST MARRIED-STEPHENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPC (1992-2004)(BEFO
Mailing Address - Street 1:248 E. SAGEBRUSH ST.
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-2225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:480-813-2768
Practice Address - Street 1:2135 E UNIVERSITY DR.
Practice Address - Street 2:SUITE 116
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213
Practice Address - Country:US
Practice Address - Phone:480-688-9022
Practice Address - Fax:480-324-0631
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC0386101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional