Provider Demographics
NPI:1396538633
Name:MINDSETT MENTAL HEALTH LLC
Entity type:Organization
Organization Name:MINDSETT MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:AUSTIN
Authorized Official - Last Name:DESSEYN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, NP
Authorized Official - Phone:540-797-0616
Mailing Address - Street 1:1320 OLD CHAIN BRIDGE RD STE 440
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3945
Mailing Address - Country:US
Mailing Address - Phone:540-530-4325
Mailing Address - Fax:540-865-9013
Practice Address - Street 1:1320 OLD CHAIN BRIDGE RD STE 440
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3945
Practice Address - Country:US
Practice Address - Phone:540-530-4325
Practice Address - Fax:540-865-9013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)