| Sound Mind Healthcare Llc | |
|
105 S Spring St Bellefonte PA 16823-1335 | |
| (814) 580-9719 | |
| (814) 474-6424 |
| Full Name | Sound Mind Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 S Spring St, Bellefonte, Pennsylvania |
| Authorized Official Name and Position | Akinola Oluwaseun Mobolaji (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 2036063335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Mind Healthcare Llc 117 N Front St Apt A Philipsburg PA 16866-1603 Ph: (203) 606-3335 | Sound Mind Healthcare Llc 105 S Spring St Bellefonte PA 16823-1335 Ph: (814) 580-9719 |
| NPI Number | 1669907697 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 04/27/2017 |
| Medicare PECOS PAC ID | 0446513055 |
|---|---|
| Medicare Enrollment ID | O20180412002745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669907697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | SP015441 (Pennsylvania) | Primary |
| Provider Name | Bridgette S Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467735647 PECOS PAC ID: 4082844949 Enrollment ID: I20140221000099 |
| Provider Name | Megan L Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114479037 PECOS PAC ID: 3971885559 Enrollment ID: I20170113001565 |
| Provider Name | Akinola O Mobolaji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083022594 PECOS PAC ID: 3476875576 Enrollment ID: I20170712000247 |
| Provider Name | Bola T Mobolaji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861921900 PECOS PAC ID: 6709147010 Enrollment ID: I20180301002005 |
| Provider Name | Marla Dressler-myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811580624 PECOS PAC ID: 3476962077 Enrollment ID: I20210512000731 |
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