Mindvalley Behavioral Health Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MINDVALLEY BEHAVIORAL HEALTH CENTER LLC

Practice address

2737 E Greenway Road
Suite 6
Phoenix, AZ 85032-4391

Phone

(623) 404-4797

Fax

(480) 546-4297

NPI assigned

Jun 13, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Marti Vandemore

Title

Administrator

Phone

(309) 989-7777

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1316621014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 E GREENWAY ROAD",
            "address_2": "SUITE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324391",
            "telephone_number": "623-404-4797",
            "fax_number": "480-546-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 E GREENWAY ROAD",
            "address_2": "SUITE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324391",
            "telephone_number": "623-404-4797",
            "fax_number": "480-546-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDVALLEY BEHAVIORAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "VANDEMORE",
        "authorized_official_first_name": "MARTI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-989-7777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Behavioral Health LLC
• Mindful Connections Counseling and Learning Center, PLLC
• Hanna Mindlin-Jones
• Mindscape Wellness LLC
• Mindscience Medical Group PLC
• Mindvista LLC
• Glenn J. Miner, O.D.
• Latisha Miner, LAC
• Laura Beth Miner, LPN
• Ming Chun Hwang

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.