Provider Demographics
NPI:1669127205
Name:THRIVING MIND SOLUTIONS, PLLC
Entity type:Organization
Organization Name:THRIVING MIND SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:KIMSEY
Authorized Official - Last Name:AMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:602-738-0556
Mailing Address - Street 1:401 W BASELINE RD STE 105A
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-5349
Mailing Address - Country:US
Mailing Address - Phone:602-738-0556
Mailing Address - Fax:602-783-8804
Practice Address - Street 1:401 W BASELINE RD STE 105A
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-5349
Practice Address - Country:US
Practice Address - Phone:602-738-0556
Practice Address - Fax:602-783-8804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty