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Organization
MENTE HEALTH LLC
Active
Organization
MENTE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE M ZUCCARINI (OWNER)
(610) 657-1142
Entity
Organization
Contact information
Practice address
101 S FAIRVIEW AVE, WIND GAP, PA 18091-1416
(570) 580-4472
(570) 796-0047
Mailing address
3764 EASTON NAZARETH HWY # 1008, EASTON, PA 18045-8340
(570) 580-4472
(570) 796-0047
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962686519
—
PA
Enumeration date
09/28/2021
Last updated
12/11/2023
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