Mental Swellness
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Halifax, VA
NPI 1558025023 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1558025023
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- MENTAL SWELLNESS
- Practice address
- 5037 Halifax Rd Ste U4
Halifax, VA 24558-3243 - Phone
- (434) 303-2300
- NPI assigned
- Oct 29, 2021
- Organization subpart
- No
Authorized official
- Name
- Megan J Zamora, NP
- Title
- Pmhnp
- Phone
- (434) 303-2300
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220126000514 | VA | Part B Supplier - Clinic/Group Practice | 9638561541 |
Receives reassigned benefits from 1 practitioner Practice locations: Halifax, VA |
National Provider Directory
Locations
5037 Halifax Rd
Ste U4
Halifax, VA 24558
Phone (434) 303-2300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
5037 Halifax Rd Ste U4
Halifax, VA 24558-3243
Mailing address
490 Buena Vista Dr
Halifax, VA 24558-2152
Phone (973) 769-5681
Other providers in Halifax, VA
- Life Services &Transportation Inc.
- Brandy Litwin
- Marsha'S Home Care Agency
- Amanda Rogers McDowell
- Roy McKinnis
- Francis Barnes Mitchell
- Albert Joseph Mungo
- Pathways Youth Services LLC
- Patient Transport Systems, Inc
- Gabrielle Pecoraro
All providers in Halifax, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.