Provider Demographics
NPI:1003639881
Name:MENTIS BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:MENTIS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:GORZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-690-9181
Mailing Address - Street 1:1251 S LAPEER RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1416
Mailing Address - Country:US
Mailing Address - Phone:248-690-9181
Mailing Address - Fax:
Practice Address - Street 1:1251 S LAPEER RD STE 203
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1416
Practice Address - Country:US
Practice Address - Phone:248-690-9181
Practice Address - Fax:248-690-9675
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEIGHBORHOOD PRIMARY CARE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-01
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty