State Of Mind Psychiatry & Wellness | |
2102 Post Office St # 10 Galveston TX 77550-2024 | |
(832) 909-4202 | |
Not Available |
Full Name | State Of Mind Psychiatry & Wellness |
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Speciality | Psychiatry & Neurology |
Location | 2102 Post Office St # 10, Galveston, Texas |
Authorized Official Name and Position | Michael Lindley (OWNER) |
Authorized Official Contact | 8328867445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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State Of Mind Psychiatry & Wellness 2102 Post Office St # 10 Galveston TX 77550-2024 Ph: () - | State Of Mind Psychiatry & Wellness 2102 Post Office St # 10 Galveston TX 77550-2024 Ph: (832) 909-4202 |
NPI Number | 1437998002 |
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Provider Enumeration Date | 05/22/2024 |
Last Update Date | 05/22/2024 |
Certification Date | 05/20/2024 |
Medicare PECOS PAC ID | 7810431335 |
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Medicare Enrollment ID | O20240625004481 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437998002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Bailey D Brinkman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114644366 PECOS PAC ID: 6709255193 Enrollment ID: I20221206003237 |
Provider Name | Michael B Lindley |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427587914 PECOS PAC ID: 7517239056 Enrollment ID: I20230623000106 |
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