# MENTIS MANAGEMENT SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063136620
- **Authorized official:** MARY PATRICIA RODENBERG-ROBERTS (VICE PRES & SR. ASST GC)
- **Authorized official phone:** (952) 836-2234

## Contact information

- **Practice address:** 1121 ESE LOOP323 STE 207, TYLER, TX 75701-9659
- **Practice address phone:** (214) 295-5374
- **Mailing address:** 980 WASHINGTON ST, DEDHAM, MA 02026-6731
- **Mailing address phone:** (781) 708-9444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2022
- **Last updated:** 03/20/2024