Provider Information for 1942738513
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Ms. SHELLY A MENTUS LMHC, MCAP
Sex: Female
NPI: 1942738513
Last Updated: 2024-06-26
Certification Date: 2021-11-02
Certification Date: 2021-11-02
Details
| Name | Value | ||||||||||||
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| NPI | 1942738513 | ||||||||||||
| Enumeration Date | 2017-05-26 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 10428 YELLOW SPICE CT RIVERVIEW, FL 33578-3410 United States Phone: 718-662-6473 | Fax: | ||||||||||||
| Primary Practice Address | 10428 YELLOW SPICE CT RIVERVIEW, FL 33578-3410 United States Phone: 813-830-8055 | Fax:813-319-5447 | ||||||||||||
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