# MINDWEAL HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BanCAPs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689299836
- **Authorized official:** DR. RAHUL BANSAL MD (CEO & MEDICAL DIRECTOR)
- **Authorized official phone:** (618) 310-0085

## Contact information

- **Practice address:** 24B PROFESSIONAL PARK DR, MARYVILLE, IL 62062-5856
- **Practice address phone:** (618) 310-0085
- **Mailing address:** 24B PROFESSIONAL PARK DR, MARYVILLE, IL 62062-5856
- **Mailing address phone:** (618) 310-0085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2020
- **Last updated:** 09/11/2023