Organization
MINDS THAT MATTER LLC
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE ANITA PITTMAN (PMHNP-BC)
(757) 531-6485
Entity
Organization
Contact information
Practice address
808 EDEN WAY N, CHESAPEAKE, VA 23320-0745
(757) 354-3161
Mailing address
1580 CRYSTAL LAKE DR, PORTSMOUTH, VA 23701-3624
(757) 531-6485
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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