Mentovia Wellness Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MENTOVIA WELLNESS CENTER LLC

Practice address

23609 104TH Ave SE Ste 101
Kent, WA 98031-3326

Phone

(773) 441-8318

NPI assigned

Jul 17, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jama Noor

Title

Manager

Phone

(773) 441-8318

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1861384422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23609 104TH AVE SE STE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23609 104TH AVE SE STE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313326",
            "telephone_number": "773-441-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOVIA WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "NOOR",
        "authorized_official_first_name": "JAMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-441-8318"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Colleen Mendez, MS SLP CCC
• Esmeralda Mendoza Castro
• Nathaniel Siroma Meneses, DPT
• Alemtsehay Mengestu
• Rijuna Menon, M.D.
• Abigail E Mercure, ARNP
• Samson Meresa
• Meridian Dental Clinic, LLC
• Meridian Optical Inc
• Meridian Valley Chiropractic Clinic, PS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kent, WA
• Providers in Kent, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.