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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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