Provider Demographics
NPI:1619855285
Name:CLEAR MINDS BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:CLEAR MINDS BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EMMANUEL
Authorized Official - Last Name:LYAGABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-521-2582
Mailing Address - Street 1:10920 W MOBILE LN
Mailing Address - Street 2:
Mailing Address - City:TOLLESON
Mailing Address - State:AZ
Mailing Address - Zip Code:85353-5781
Mailing Address - Country:US
Mailing Address - Phone:602-521-2582
Mailing Address - Fax:
Practice Address - Street 1:10920 W MOBILE LN
Practice Address - Street 2:
Practice Address - City:TOLLESON
Practice Address - State:AZ
Practice Address - Zip Code:85353-5781
Practice Address - Country:US
Practice Address - Phone:602-521-2582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health