| Mindful Mood Psychiatry, Pllc | |
|
534 Trejo Street Suite 100 Rexburg ID 83440 | |
| (208) 206-7066 | |
| Not Available |
| Full Name | Mindful Mood Psychiatry, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 534 Trejo Street, Rexburg, Idaho |
| Authorized Official Name and Position | Michelle Andrus (PMHNP) |
| Authorized Official Contact | 2085579572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Mood Psychiatry, Pllc 1846 1st St # 1031 Idaho Falls ID 83401-4415 Ph: () - | Mindful Mood Psychiatry, Pllc 534 Trejo Street Suite 100 Rexburg ID 83440 Ph: (208) 206-7066 |
| NPI Number | 1811799398 |
|---|---|
| Provider Enumeration Date | 03/26/2025 |
| Last Update Date | 03/31/2025 |
| Certification Date | 03/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811799398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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