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Organization

MYND WORKS PSYCHIATRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY KATHLEEN BOLLES PMHNP-BC (OWNER)
(512) 791-5433
Entity
Organization

Contact information

Practice address
3724 JEFFERSON ST STE 206, AUSTIN, TX 78731-6221
(512) 739-6566
(254) 651-1062
Mailing address
3724 JEFFERSON ST STE 206, AUSTIN, TX 78731-6221
(512) 739-6566
(254) 651-1062

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
03/01/2020
Last updated
03/01/2020
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