| Desert Mind Space | |
|
333 N Dobson Rd Ste 5 Chandler AZ 85224-4412 | |
| (480) 227-7525 | |
| Not Available |
| Full Name | Desert Mind Space |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 N Dobson Rd Ste 5, Chandler, Arizona |
| Authorized Official Name and Position | Nicole Bartreau (OWNER) |
| Authorized Official Contact | 4808189188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Mind Space 929 N Val Vista Dr Ste 109 #1299 Gilbert AZ 85234 Ph: () - | Desert Mind Space 333 N Dobson Rd Ste 5 Chandler AZ 85224-4412 Ph: (480) 227-7525 |
| NPI Number | 1689384851 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Medicare PECOS PAC ID | 6507226065 |
|---|---|
| Medicare Enrollment ID | O20230714002626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689384851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Irene Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801205471 PECOS PAC ID: 5799001012 Enrollment ID: I20150304001963 |
| Provider Name | Nicole D Bartreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265979900 PECOS PAC ID: 0345523379 Enrollment ID: I20170216001729 |
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