Provider Demographics
NPI:1891554408
Name:HEARTS AND MINDS MENTAL HEALTH PLLC
Entity Type:Organization
Organization Name:HEARTS AND MINDS MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:507-450-4886
Mailing Address - Street 1:4222 N 81ST LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85033-2330
Mailing Address - Country:US
Mailing Address - Phone:507-450-4886
Mailing Address - Fax:833-632-3271
Practice Address - Street 1:4222 N 81ST LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-2330
Practice Address - Country:US
Practice Address - Phone:507-450-4886
Practice Address - Fax:833-632-3271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty