Mentus, Shelly A
Mentus, Shelly A is an sole proprietor health care provider with primary practice located at 10428 Yellow Spice Ct , Riverview FL 33578-3410. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mentus, Shelly A can be contacted via phone (813) 830-8055.Contact Information
Primary practice address
10428 Yellow Spice Ct
Riverview FL 33578-3410
Phone: (813) 830-8055
Fax: (813) 319-5447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | MH23899 | Florida |
Profile Details
| NPI number | 1942738513 |
|---|---|
| LBN Legal business name | Mentus, Shelly A |
| Credentials | LMHC, MCAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2017 |
| Last updated | Jun 26th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942738513 | NPPES |
| Florida | MEDICAID | 015558700 | |
| Florida | Other | MH23899 |
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