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Organization

TEAM MENTATION PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DERICK STEVEN REEDY (OWNER)
(276) 248-1880
Entity
Organization

Contact information

Practice address
11708 NICKELSVILLE HWY STE 2, NICKELSVILLE, VA 24271-2872
(276) 248-1880
(276) 258-0616
Mailing address
PO BOX 270, NICKELSVILLE, VA 24271-0270
(276) 248-1880
(276) 258-0616

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
363L00000X
Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
12/06/2022
Last updated
03/04/2026
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