| Team Mentation Pllc | |
|
11708 Nickelsville Hwy Ste 200 Nickelsville VA 24271-2872 | |
| (276) 248-1880 | |
| (276) 258-0616 |
| Full Name | Team Mentation Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 11708 Nickelsville Hwy Ste 200, Nickelsville, Virginia |
| Authorized Official Name and Position | Derick Steven Reedy (PSYCHIATRIC MENTAL HEALTH NP) |
| Authorized Official Contact | 2762481880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Mentation Pllc 11708 Nickelsville Hwy Ste 200 Nickelsville VA 24271-2872 Ph: (276) 248-1880 | Team Mentation Pllc 11708 Nickelsville Hwy Ste 200 Nickelsville VA 24271-2872 Ph: (276) 248-1880 |
| NPI Number | 1942911417 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Medicare PECOS PAC ID | 7012382070 |
|---|---|
| Medicare Enrollment ID | O20230405002658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942911417 | NPI | - | NPPES |
| Provider Name | Derick Reedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427684562 PECOS PAC ID: 8224468236 Enrollment ID: I20200415000692 |
Family Presrvation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 273 Titan Ln, Nickelsville, VA 24271 Phone: 276-431-7214 Fax: 276-431-7215 | |
Family Preservation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11445 Nickelsville Highway, Nickelsville, VA 24271 Phone: 276-431-7214 Fax: 276-431-7215 | |
Family Preservation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1154 Twin Springs Rd, Nickelsville, VA 24271 Phone: 276-431-7214 Fax: 276-431-7215 |