Provider Demographics
NPI:1962272799
Name:POWER MENTAL HEALTH SERVICES INC
Entity type:Organization
Organization Name:POWER MENTAL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEDOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:559-284-2930
Mailing Address - Street 1:1350 O ST STE 302
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1828
Mailing Address - Country:US
Mailing Address - Phone:559-319-6975
Mailing Address - Fax:800-516-8330
Practice Address - Street 1:1350 O ST STE 302
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1828
Practice Address - Country:US
Practice Address - Phone:559-369-4625
Practice Address - Fax:559-369-7259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-03
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty