Provider Demographics
NPI:1699406561
Name:VALORMINDS LLC
Entity Type:Organization
Organization Name:VALORMINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRELONGE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:516-376-4111
Mailing Address - Street 1:13725 FRANCIS LEWIS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAURELTON
Mailing Address - State:NY
Mailing Address - Zip Code:11413-2840
Mailing Address - Country:US
Mailing Address - Phone:516-376-4111
Mailing Address - Fax:
Practice Address - Street 1:13725 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:LAURELTON
Practice Address - State:NY
Practice Address - Zip Code:11413-2840
Practice Address - Country:US
Practice Address - Phone:516-376-4111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty