Organization
MENTAL EASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NERILENE LEENA BALLARD (OWNER OF ENTITY)
(754) 280-0137
Entity
Organization
Contact information
Practice address
7971 RIVIERA BLVD STE 314, MIRAMAR, FL 33023-6448
(754) 280-0137
Mailing address
11411 SW 45TH MNR UNIT 203, MIRAMAR, FL 33025-7909
(754) 280-0137
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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