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 1:410 S MT JULIET RD
Mailing Address - Street 2:SUITE 235
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122
Mailing Address - Country:US
Mailing Address - Phone:540-797-0616
Mailing Address - Fax:540-339-9050
Practice Address - Street 1:318 DUNNWOOD LOOP
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3191
Practice Address - Country:US
Practice Address - Phone:540-797-0616
Practice Address - Fax:540-339-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)