Provider Demographics
NPI:1144182270
Name:MIND SHIFT COUNSELING LLC
Entity type:Organization
Organization Name:MIND SHIFT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MACAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLECHTY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-239-0948
Mailing Address - Street 1:3150 N 24TH ST STE D100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7353
Mailing Address - Country:US
Mailing Address - Phone:480-239-0948
Mailing Address - Fax:
Practice Address - Street 1:3150 N 24TH ST STE D100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7353
Practice Address - Country:US
Practice Address - Phone:480-239-0948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-26
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty