Provider Demographics
NPI:1639782931
Name:IDEAL MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:IDEAL MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARHEWOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-407-6668
Mailing Address - Street 1:110 W RANDOL MILL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-4612
Mailing Address - Country:US
Mailing Address - Phone:682-392-5252
Mailing Address - Fax:817-549-1161
Practice Address - Street 1:110 W RANDOL MILL RD STE 200
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-4612
Practice Address - Country:US
Practice Address - Phone:682-392-5252
Practice Address - Fax:817-549-1161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty