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General NPI Number Information
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NPI Number | 1437998002
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Entity Type | Organization
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Legal Business Name | STATE OF MIND PSYCHIATRY & WELLNESS
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 2102 POST OFFICE ST # 10
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City | GALVESTON
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State | TX
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Zip | 77550-2024
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Country | US
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Telephone | 832-909-4202
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Fax |
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Provider Business Mailing Address
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Address Line | 2102 POST OFFICE ST # 10
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City | GALVESTON
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State | TX
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Zip | 77550-2024
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL LINDLEY
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Credential | MD
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Telephone | 832-886-7445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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