Provider Demographics
NPI:1568128379
Name:MOUNTAIN MENTAL HEALTH AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:MOUNTAIN MENTAL HEALTH AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:NIEMCZYK
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:828-408-0432
Mailing Address - Street 1:30 GARFIELD ST STE A
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-7301
Mailing Address - Country:US
Mailing Address - Phone:828-408-0432
Mailing Address - Fax:828-929-8261
Practice Address - Street 1:30 GARFIELD ST STE A
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-7301
Practice Address - Country:US
Practice Address - Phone:828-408-0432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty