Provider Demographics
NPI:1124715008
Name:MINDSET THERAPY INC
Entity type:Organization
Organization Name:MINDSET THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUC
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:602-410-8095
Mailing Address - Street 1:6015 E MONTERRA WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-8842
Mailing Address - Country:US
Mailing Address - Phone:602-410-8095
Mailing Address - Fax:
Practice Address - Street 1:6015 E MONTERRA WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-8842
Practice Address - Country:US
Practice Address - Phone:602-410-8095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty