Organization
MAVERICK MIND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOELLE JOSEPHINA BAILEY (OWNER)
(719) 988-3843
Entity
Organization
Contact information
Practice address
1401 N ELIZABETH ST STE B2, PUEBLO, CO 81003-2158
(719) 988-3843
Mailing address
13395 VOYAGER PKWY STE 130, COLORADO SPRINGS, CO 80921-7677
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
02/07/2026
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