Provider Demographics
NPI:1497133839
Name:MENTAL HEALTH SERVICES ASSOCIATES LLC
Entity Type:Organization
Organization Name:MENTAL HEALTH SERVICES ASSOCIATES LLC
Other - Org Name:1 ON ONE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TATEM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-524-3941
Mailing Address - Street 1:117 HEATHER DRIVE
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529
Mailing Address - Country:US
Mailing Address - Phone:919-524-3941
Mailing Address - Fax:919-359-8202
Practice Address - Street 1:117 HEATHER DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7675
Practice Address - Country:US
Practice Address - Phone:919-524-3941
Practice Address - Fax:919-359-8202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care