Organization
MENTALWELL LLC
Active
Organization
MENTALWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ELARBI (CEO/PRESIDENT)
(786) 694-7346
Entity
Organization
Contact information
Practice address
30 N GOULD ST STE 20856, SHERIDAN, WY 82801-6317
(307) 228-5310
Mailing address
30 N GOULD ST STE 20856, SHERIDAN, WY 82801-6317
(307) 228-5310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207P00000X
Emergency Medicine Physician
—
—
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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