Provider Demographics
NPI:1780953554
Name:MENTAL HEALTH SOLUTIONS, LPPC
Entity type:Organization
Organization Name:MENTAL HEALTH SOLUTIONS, LPPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESDIENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-989-5414
Mailing Address - Street 1:66 TIMBEROAK CT
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-3459
Mailing Address - Country:US
Mailing Address - Phone:434-989-5414
Mailing Address - Fax:434-979-5420
Practice Address - Street 1:66 TIMBEROAK CT
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-3459
Practice Address - Country:US
Practice Address - Phone:434-989-5414
Practice Address - Fax:434-979-5420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012405872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004900324Medicaid
016070M94Medicare PIN