Provider Demographics
NPI:1407568025
Name:PMHEALTH SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:PMHEALTH SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE DUARTE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:804-638-8316
Mailing Address - Street 1:14537 SULPHUR SPRINGS TER
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-2778
Mailing Address - Country:US
Mailing Address - Phone:804-638-8316
Mailing Address - Fax:
Practice Address - Street 1:1720 E HUNDRED RD STE 101
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-3300
Practice Address - Country:US
Practice Address - Phone:804-681-0673
Practice Address - Fax:804-681-0675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty