Healthcare Provider Details

I. General information

NPI: 1598658809
Provider Name (Legal Business Name): TERRA MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 ODELL HILL RD
CENTER CONWAY NH
03813-4412
US

IV. Provider business mailing address

281 ODELL HILL RD
CENTER CONWAY NH
03813-4412
US

V. Phone/Fax

Practice location:
  • Phone: 603-487-6745
  • Fax:
Mailing address:
  • Phone: 603-487-6745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. BETHANY DARLING
Title or Position: EXECUTIVE DIRECTOR
Credential: MD
Phone: 603-487-6745