| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 7810431335 |
|---|---|
| Medicare Enrollment ID | O20240625004481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437998002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Bailey D Brinkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114644366 PECOS PAC ID: 6709255193 Enrollment ID: I20221206003237 |
| Provider Name | Michael Blake Lindley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427587914 PECOS PAC ID: 7517239056 Enrollment ID: I20230623000106 |
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