| NPI | 1033911722 |
|---|---|
| Doing Business As | MINDBRIDGE MENTAL HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LAURA CARMICKLE Owner 469-915-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2026-01-13 |