Healthcare Provider Details
I. General information
NPI: 1205781820
Provider Name (Legal Business Name): MIND GROVE TMS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
90 S CASCADE AVE STE 1410
COLORADO SPRINGS CO
80903-1680
US
IV. Provider business mailing address
1500 N GRANT ST STE N
DENVER CO
80203-1859
US
V. Phone/Fax
- Phone: 719-602-6043
- Fax: 719-888-1554
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MEGAN
BOWERS
Title or Position: PRESIDENT
Credential: MD, PHD
Phone: 719-602-6043