| Fullmynd Integrative Psychiatry & Wellness, A Nursing Professional Corporation | |
|
43700 17th St W Ste 201 Lancaster CA 93534-4661 | |
| (805) 424-2674 | |
| Not Available |
| Full Name | Fullmynd Integrative Psychiatry & Wellness, A Nursing Professional Corporation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 43700 17th St W Ste 201, Lancaster, California |
| Authorized Official Name and Position | Desiree Olan (PRESIDENT) |
| Authorized Official Contact | 8054242674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fullmynd Integrative Psychiatry & Wellness, A Nursing Professional Corporation 2108 N St # 6199 Sacramento CA 95816-5712 Ph: (805) 424-2674 | Fullmynd Integrative Psychiatry & Wellness, A Nursing Professional Corporation 43700 17th St W Ste 201 Lancaster CA 93534-4661 Ph: (805) 424-2674 |
| NPI Number | 1447105903 |
|---|---|
| Provider Enumeration Date | 03/02/2026 |
| Last Update Date | 03/02/2026 |
| Certification Date | 03/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447105903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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