Mindful Mental Health Az Sun LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL MENTAL HEALTH AZ SUN LLC

Practice address

40304 W Lococo St
Maricopa, AZ 85138-5137

Phone

(602) 314-7225

Fax

(602) 314-7226

NPI assigned

Apr 14, 2022

Organization subpart

No

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

Authorized official

Name

Kacie Stansfield

Title

President

Phone

(602) 314-7225

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1770226151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40304 W LOCOCO ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385137",
            "telephone_number": "602-314-7225",
            "fax_number": "602-314-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40304 W LOCOCO ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385137",
            "telephone_number": "602-314-7225",
            "fax_number": "602-314-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MENTAL HEALTH AZ SUN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "STANSFIELD",
        "authorized_official_first_name": "KACIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-314-7225"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luise P Merman
• Krupali Mewada, PT
• Mfdo
• Rose T Mhango
• Gary Miller
• Allison Dawn Minor, SLPA
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• Robert G Mitchelson, P A
• Alicia Modica
• Mon Ami 2 Group Home LLC

• Clinical Social Worker in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.