| Brainwell Psychiatry And Mental Health Pllc | |
|
909 Pecan St Bastrop TX 78602-3819 | |
| (512) 360-8488 | |
| (956) 253-2505 |
| Full Name | Brainwell Psychiatry And Mental Health Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 909 Pecan St, Bastrop, Texas |
| Authorized Official Name and Position | Sandra Dunkin (OWNER) |
| Authorized Official Contact | 5123608488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainwell Psychiatry And Mental Health Pllc Po Box 1200 Bastrop TX 78602-1200 Ph: (512) 360-8488 | Brainwell Psychiatry And Mental Health Pllc 909 Pecan St Bastrop TX 78602-3819 Ph: (512) 360-8488 |
| NPI Number | 1164173266 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 01/09/2023 |
| Certification Date | 02/24/2022 |
| Medicare PECOS PAC ID | 5698113983 |
|---|---|
| Medicare Enrollment ID | O20240405000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164173266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sandra D Dunkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316328016 PECOS PAC ID: 6204129802 Enrollment ID: I20191009002286 |
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