# MAVERICK MIND PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699488924
- **Authorized official:** JOELLE JOSEPHINA BAILEY (OWNER)
- **Authorized official phone:** (719) 988-3843

## Contact information

- **Practice address:** 1401 N ELIZABETH ST STE B2, PUEBLO, CO 81003-2158
- **Practice address phone:** (719) 988-3843
- **Mailing address:** 13395 VOYAGER PKWY STE 130, COLORADO SPRINGS, CO 80921-7677

## 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:** 01/02/2023
- **Last updated:** 02/07/2026