Healthcare Provider Details
I. General information
NPI: 1184462632
Provider Name (Legal Business Name): MOUNTAIN VALLEY HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2024
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1951 EVELYN BYRD AVE STE I
HARRISONBURG VA
22801-3483
US
IV. Provider business mailing address
1951 EVELYN BYRD AVE STE I
HARRISONBURG VA
22801-3483
US
V. Phone/Fax
- Phone: 826-444-6842
- Fax: 844-691-1169
- Phone: 826-444-6842
- Fax: 844-691-1169
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HEATHER
LYNN
DARMETKO
Title or Position: OWNER
Credential: DNP FNP PMHNP
Phone: 941-979-2327