Organization
MINDWEAL HEALTH, PLLC
Active
Other names
BanCAPs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHUL BANSAL MD (CEO & MEDICAL DIRECTOR)
(618) 310-0085
Entity
Organization
Contact information
Practice address
24B PROFESSIONAL PARK DR, MARYVILLE, IL 62062-5856
(618) 310-0085
Mailing address
24B PROFESSIONAL PARK DR, MARYVILLE, IL 62062-5856
(618) 310-0085
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/13/2020
Last updated
09/11/2023
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