Manzanita Mind Institute Pllc

LBN: Manzanita Mind Institute Pllc
Manzanita Mind Institute Pllc is an health care organization with primary practice located at 3075 N Swan Rd Ste 206 , Tucson AZ 85712-1259. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Manzanita Mind Institute Pllc can be contacted via phone (520) 230-1065, or through Jacquart, Jolene via phone (510) 230-1065.

Contact Information

Primary practice address
3075 N Swan Rd Ste 206 Tucson AZ 85712-1259
Phone: (520) 230-1065
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacquart, Jolene PHD
Phone: (510) 230-1065

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1174385058
LBN Legal business name Manzanita Mind Institute Pllc
DBA Doing business as
Authorized official Jacquart, Jolene PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2024
Last updated Jan 26th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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