Untangled Minds Pllc

NPI #1952022527 in O Fallon, Illinois

Provider Information

NPI Number: 1952022527
Entity Type: Organization
Organization Name: Untangled Minds Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 12, 2022
Last Updated: Jun 4, 2023

Practice Location

Address: 807 W HIGHWAY 50 STE 3
City: O Fallon
State: Illinois
ZIP Code: 62269-1856
Phone: (618) 468-8069

Authorized Official

Name: AUDREY GONZALEZ, LCPC
Title: OWNER
Phone: (618) 468-8069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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