MINDWEAL HEALTH PLLC NPI 1689299836

NPI Information

NPI: 1689299836
Provider Name: MINDWEAL HEALTH, PLLC

Doing Business As: BANCAPS

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
24B PROFESSIONAL PARK DR
MARYVILLE, IL
ZIP 62062
Phone: (618) 310-0085
Get Directions

MINDWEAL HEALTH, PLLC is a child and adolescent psychiatry psychiatry neurology in Maryville, IL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. MINDWEAL HEALTH, PLLC NPI is 1689299836. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bancaps.

The provider's business location address is:

24B PROFESSIONAL PARK DR
MARYVILLE, IL
ZIP 62062-856
Phone: (618) 310-0085

The provider's authorized official is Rahul Bansal .
The authorized official title is Ceo & Medical Director and has the following contact phone number (618) 310-0085.

The enumeration date for this NPI number is 6/13/2020 and was last updated on 9/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry			No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry			Yes

What is NPI?

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This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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