Provider Demographics
NPI:1093479636
Name:MINDCARE SOLUTIONS PC
Entity Type:Organization
Organization Name:MINDCARE SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROCCO
Authorized Official - Middle Name:
Authorized Official - Last Name:CONIGLIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-523-0593
Mailing Address - Street 1:5314 MARYLAND WAY STE 110
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-6065
Mailing Address - Country:US
Mailing Address - Phone:615-850-6120
Mailing Address - Fax:
Practice Address - Street 1:5314 MARYLAND WAY STE 110
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-6065
Practice Address - Country:US
Practice Address - Phone:615-850-6120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-29
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty