Healthcare Provider Details

I. General information

NPI: 1245165026
Provider Name (Legal Business Name): MENTAL EASE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 S BLACKHAWK ST STE 240
AURORA CO
80014-1475
US

IV. Provider business mailing address

7951 RIVIERA BLVD STE 310
MIRAMAR FL
33023-6438
US

V. Phone/Fax

Practice location:
  • Phone: 954-800-5133
  • Fax: 954-900-8991
Mailing address:
  • Phone: 954-800-5133
  • Fax: 954-900-8991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NERILENE LEENA BALLARD
Title or Position: OWNER
Credential: PMHNP
Phone: 954-800-5133