Mentalist Specialties LLC
Nurse Practitioner, Psych/Mental Health in Mount Vernon, NY. Organization (NPI-2).
NPI number1831998012
StatusActive
Last updated in NPPESMar 24, 2025
Details
- NPI
- 1831998012
- Entity type
- Organization (NPI-2)
- Legal business name
- Mentalist Specialties LLC
- Organization subpart
- No
- Enumeration date
- Mar 11, 2025
- Certification date
- Mar 24, 2025
- Last updated
- Mar 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
6 Gramatan Ave Ste 606Mount Vernon, NY 10550-3208
Phone 929-757-3130
Mailing address
48 Capitol Ave Apt 2fHartford, CT 06106-9402
Phone 929-757-3130
Authorized official
Anastasia Anderson
Owner
9297573130
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