# TASSIELLIMENTALHEALTHANDWELLNESS LLC

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

## Provider details

- **NPI number:** 1316614829
- **Authorized official:** LIDIA BERRONE APRN, PMHNP-BC (OWNER)
- **Authorized official phone:** (937) 502-4567

## Contact information

- **Practice address:** 3085 WOODMAN DR STE 205, KETTERING, OH 45420-1171
- **Practice address phone:** (937) 502-4567
- **Practice address fax:** (609) 293-0270
- **Mailing address:** 3085 WOODMAN DR STE 205, KETTERING, OH 45420-1171
- **Mailing address phone:** (937) 502-4567
- **Mailing address fax:** (609) 293-0270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 364SA2100X | Acute Care Clinical Nurse Specialist | — | NULL | — |
| 364SA2100X | Acute Care Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 08/24/2021
- **Last updated:** 09/30/2021