Healthcare Provider Details

I. General information

NPI: 1962272799
Provider Name (Legal Business Name): POWER MENTAL HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2024
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 O ST STE 302
FRESNO CA
93721-1828
US

IV. Provider business mailing address

1350 O ST STE 302
FRESNO CA
93721-1828
US

V. Phone/Fax

Practice location:
  • Phone: 559-369-4625
  • Fax: 559-369-7259
Mailing address:
  • Phone: 559-319-6975
  • Fax: 800-516-8330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JUAN A BEDOLLA
Title or Position: CO-OWNER
Credential: FNP
Phone: 559-284-2930