Provider Demographics
NPI:1184387680
Name:YOUR MENTAL HEALTH MATTERS LLC
Entity type:Organization
Organization Name:YOUR MENTAL HEALTH MATTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:Y
Authorized Official - Last Name:FUTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-582-5576
Mailing Address - Street 1:PO BOX 5441
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-5441
Mailing Address - Country:US
Mailing Address - Phone:757-582-5576
Mailing Address - Fax:
Practice Address - Street 1:3838 NANSEMOND PKWY
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1220
Practice Address - Country:US
Practice Address - Phone:757-582-5576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health