Healthcare Provider Details

I. General information

NPI: 1184555831
Provider Name (Legal Business Name): MIND OVER CHATTER THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 E HOLMES ST
TUCSON AZ
85711-2951
US

IV. Provider business mailing address

255 N ROSEMONT BLVD # 13464
TUCSON AZ
85711-3101
US

V. Phone/Fax

Practice location:
  • Phone: 520-475-7144
  • Fax:
Mailing address:
  • Phone: 520-475-7144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TRACEY GILBERT
Title or Position: OWNER
Credential: LIAC
Phone: 520-475-7144