Provider Demographics
NPI:1164282315
Name:ART OF MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:ART OF MENTAL HEALTH LLC
Other - Org Name:NATALIA HICKS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-913-9909
Mailing Address - Street 1:3074 BAILEY LN
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6927
Mailing Address - Country:US
Mailing Address - Phone:541-913-9909
Mailing Address - Fax:
Practice Address - Street 1:3074 BAILEY LN
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6927
Practice Address - Country:US
Practice Address - Phone:541-913-9909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty