Healthcare Provider Details

I. General information

NPI: 1376177386
Provider Name (Legal Business Name): THE MIND CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 06/10/2020
Certification Date: 06/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 RAILROAD SQ
WATERVILLE ME
04901-6139
US

IV. Provider business mailing address

PO BOX 646
OAKLAND ME
04963-0646
US

V. Phone/Fax

Practice location:
  • Phone: 207-200-4548
  • Fax: 207-692-1210
Mailing address:
  • Phone: 207-200-4548
  • Fax: 207-692-1210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. OZGUR TURKOGLU
Title or Position: OFFICE MANAGER
Credential: PHD
Phone: 207-200-4548