# MENTUS BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1700533536
- **Authorized official:** DR. LUIS EMILIO BETANCOURT MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (704) 770-7027

## Contact information

- **Practice address:** 12651 MCGREGOR BLVD STE 301, FORT MYERS, FL 33919-4488
- **Practice address phone:** (704) 770-7027
- **Mailing address:** 12651 MCGREGOR BLVD STE 301, FORT MYERS, FL 33919-4488
- **Mailing address phone:** (704) 770-7027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2022
- **Last updated:** 08/15/2022