Healthcare Provider Details

I. General information

NPI: 1528984689
Provider Name (Legal Business Name): MINDBENDER COUNSELING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21045 W MCDOWELL RD UNIT 704
BUCKEYE AZ
85396-2093
US

IV. Provider business mailing address

21045 W MCDOWELL RD UNIT 704
BUCKEYE AZ
85396-2093
US

V. Phone/Fax

Practice location:
  • Phone: 623-522-7655
  • Fax:
Mailing address:
  • Phone: 623-522-7655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KANDIS BALDWIN
Title or Position: OWNER
Credential: LPC
Phone: 623-522-7655