MINDWEAL HEALTH PLLC, Child & Adolescent Psychiatry MARYVILLE, IL

Contact Information

MINDWEAL HEALTH, PLLC

24B PROFESSIONAL PARK DR
MARYVILLE, IL 62062-5856

Phone: 618-310-0085
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Child & Adolescent Psychiatry	2084P0804X	86	Physician/Neuropsychiatry
Psychiatry	2084P0800X	26	Physician/Psychiatry

Indicates primary specialty

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NPI Profile & details for MINDWEAL HEALTH PLLC · (Female)

NPI Number	`1689299836`
Status	Active
Credentials
Entity	Individual
Enumeration date	06/13/2020
Last updated	09/11/2023 - About 3 years ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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