| Bravemind Wellness Group | |
|
520a Piney Way Morro Bay CA 93442-2354 | |
| (805) 284-7344 | |
| Not Available |
| Full Name | Bravemind Wellness Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 520a Piney Way, Morro Bay, California |
| Authorized Official Name and Position | Justen F Wiggins (CEO) |
| Authorized Official Contact | 8052847344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bravemind Wellness Group 520a Piney Way Morro Bay CA 93442-2354 | Bravemind Wellness Group 520a Piney Way Morro Bay CA 93442-2354 Ph: (805) 284-7344 |
| NPI Number | 1164350468 |
|---|---|
| Provider Enumeration Date | 05/08/2026 |
| Last Update Date | 05/08/2026 |
| Certification Date | 04/14/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164350468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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