Healthcare Provider Details

I. General information

NPI: 1407568025
Provider Name (Legal Business Name): PMHEALTH SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 E HUNDRED RD STE 101
CHESTER VA
23836-3300
US

IV. Provider business mailing address

PO BOX 2998
CHESTER VA
23831-8455
US

V. Phone/Fax

Practice location:
  • Phone: 804-681-0673
  • Fax: 804-681-0675
Mailing address:
  • Phone: 804-681-0673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TRACY MOORE DUARTE
Title or Position: MANAGING MEMBER
Credential: PMHNP-BC
Phone: 804-681-0673