MEDICARE: MINDSPRING PSYCHIATRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1548113574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDSPRING PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	10645 N ORACLE RD STE 121-362
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85737-9387
Country	:	US
Telephone Number	:	520-453-5777
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 W WETMORE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1521
Country	:	US
Telephone Number	:	520-453-5777
Fax Number	:

Authorized Official
Title or Position	:	PMHNP-BC
Name	:	SYLVIA P VALENZUELA
Credential	:	NP
Telephone Number	:	520-312-9279

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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