Healthcare Provider Details

I. General information

NPI: 1447851837
Provider Name (Legal Business Name): LAWS OF MINDFUL HEALING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2020
Last Update Date: 11/03/2020
Certification Date: 11/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3717 S CHAPARRAL RD
APACHE JUNCTION AZ
85119-3608
US

IV. Provider business mailing address

3717 S CHAPARRAL RD
APACHE JUNCTION AZ
85119-3608
US

V. Phone/Fax

Practice location:
  • Phone: 480-601-7567
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LORI SMITH
Title or Position: OWNER
Credential:
Phone: 480-601-7567