Provider Demographics
NPI:1720704836
Name:CLEAR MINDS PSYCHIATRY LLC
Entity type:Organization
Organization Name:CLEAR MINDS PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:602-315-2670
Mailing Address - Street 1:9221 E BASELINE RD STE 109-422
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-8376
Mailing Address - Country:US
Mailing Address - Phone:480-716-8114
Mailing Address - Fax:
Practice Address - Street 1:2135 E UNIVERSITY DR STE 116
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-8335
Practice Address - Country:US
Practice Address - Phone:807-168-1144
Practice Address - Fax:480-716-7010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2023-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty