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General NPI Number Information
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NPI Number | 1144182270
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Entity Type | Organization
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Legal Business Name | MIND SHIFT COUNSELING LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3150 N 24TH ST STE D100
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City | PHOENIX
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State | AZ
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Zip | 85016-7353
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Country | US
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Telephone | 480-239-0948
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Fax |
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Provider Business Mailing Address
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Address Line | 3150 N 24TH ST STE D100
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City | PHOENIX
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State | AZ
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Zip | 85016-7353
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Country | US
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Telephone | 480-239-0948
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MACAYLA SCHLECHTY
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Credential | LPC
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Telephone | 480-239-0948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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