# MENTALIST SPECIALTIES LLC

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

## Provider details

- **NPI number:** 1831998012
- **Authorized official:** ANASTASIA ANDERSON (OWNER)
- **Authorized official phone:** (929) 757-3130

## Contact information

- **Practice address:** 6 GRAMATAN AVE STE 606, MOUNT VERNON, NY 10550-3208
- **Practice address phone:** (929) 757-3130
- **Mailing address:** 48 CAPITOL AVE APT 2F, HARTFORD, CT 06106-9402
- **Mailing address phone:** (929) 757-3130

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2025
- **Last updated:** 03/24/2025