# MAVERICK MIND PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MAVERICK MIND PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265361026
- **Legal business name:** MAVERICK MIND PLLC
- **Authorized official:** JOELLE JOSEPHINA BAILEY PMHNP-BC (OWNER)
- **Authorized official phone:** (719) 988-3843

## Contact information

- **Practice address:** 4360 MONTEBELLO DR STE 400, COLORADO SPRINGS, CO 80918-7224
- **Practice address phone:** (719) 988-3843
- **Mailing address:** 13395 VOYAGER PKWY SUITE 130, PMB 2026, COLORADO SPRINGS, CO 80921
- **Mailing address phone:** (719) 988-3843
- **Mailing address fax:** (719) 888-1647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2026
- **Last updated:** 05/18/2026