Provider Demographics
NPI:1619157773
Name:MIND & MEDICINE PSYCHIATRIC ASSOCIATES LLC
Entity Type:Organization
Organization Name:MIND & MEDICINE PSYCHIATRIC ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BADALIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HELVINK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-793-6463
Mailing Address - Street 1:2500 TAMIAMI TRL N
Mailing Address - Street 2:STE 210
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4470
Mailing Address - Country:US
Mailing Address - Phone:239-793-6463
Mailing Address - Fax:239-643-0529
Practice Address - Street 1:2500 TAMIAMI TRL N
Practice Address - Street 2:STE 210
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4470
Practice Address - Country:US
Practice Address - Phone:239-793-6463
Practice Address - Fax:239-643-0529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty