# ALEXIS MONDELLA PMHNP-BC, LLC

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

## Provider details

- **NPI number:** 1790606960
- **Authorized official:** ALEXIS MARIA MONDELLA NP (MANAGING MEMBER)
- **Authorized official phone:** (518) 321-3192

## Contact information

- **Practice address:** 96 FARR LN, QUEENSBURY, NY 12804-1995
- **Practice address phone:** (518) 321-3192
- **Mailing address:** 96 FARR LN, QUEENSBURY, NY 12804-1995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2026
- **Last updated:** 07/23/2026