Provider Demographics
NPI:1629618921
Name:MENTIL, LLC
Entity Type:Organization
Organization Name:MENTIL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-588-8984
Mailing Address - Street 1:8888 DYER ST STE 419
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79904-2034
Mailing Address - Country:US
Mailing Address - Phone:915-861-6886
Mailing Address - Fax:915-995-4887
Practice Address - Street 1:8888 DYER ST
Practice Address - Street 2:STE 419
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-2034
Practice Address - Country:US
Practice Address - Phone:915-861-6886
Practice Address - Fax:915-955-4887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-14
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty