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Organization
MENTEVO LLC
Active
Organization
MENTEVO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSE NANETTA MUNOZ EDD, LCSW (OWNER)
(720) 289-9116
Entity
Organization
Contact information
Practice address
18313 CANDICE DR, TRIANGLE, VA 22172-1413
(720) 289-9116
Mailing address
18313 CANDICE DR, TRIANGLE, VA 22172-1413
(720) 289-9116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171400000X
Health & Wellness Coach
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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