| Mentil, Llc | |
|
8888 Dyer St Ste 419 El Paso TX 79904-2034 | |
| (915) 861-6886 | |
| (915) 955-4887 |
| Full Name | Mentil, Llc |
|---|---|
| Speciality | Case Management |
| Location | 8888 Dyer St, El Paso, Texas |
| Authorized Official Name and Position | Faith Banks (OWNER) |
| Authorized Official Contact | 9155888984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mentil, Llc 8888 Dyer St Ste 419 El Paso TX 79904-2034 Ph: (915) 861-6886 | Mentil, Llc 8888 Dyer St Ste 419 El Paso TX 79904-2034 Ph: (915) 861-6886 |
| NPI Number | 1629618921 |
|---|---|
| Provider Enumeration Date | 01/14/2020 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 7315367638 |
|---|---|
| Medicare Enrollment ID | O20221019001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629618921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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