Provider Demographics
NPI:1598486664
Name:MENTAL FITNESS MATTERS PLLC
Entity Type:Organization
Organization Name:MENTAL FITNESS MATTERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-260-7909
Mailing Address - Street 1:1932 ARLINGTON BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-1560
Mailing Address - Country:US
Mailing Address - Phone:434-830-5071
Mailing Address - Fax:434-240-6769
Practice Address - Street 1:1932 ARLINGTON BLVD STE 111
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-1560
Practice Address - Country:US
Practice Address - Phone:434-830-5071
Practice Address - Fax:434-240-6769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty