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NPI Code Detail

MEDICARE: MENTAL EASE LLC

MEDICARE: MENTAL EASE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1245165026
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENTAL EASE LLC
Provider Business Mailing Address
First Line : 7951 RIVIERA BLVD STE 310
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-6438
Country : US
Telephone Number : 954-800-5133
Fax Number : 954-900-8991
Provider Business Practice Location Address
First Line : 2101 S BLACKHAWK ST STE 240
Second Line :
City : AURORA
State : CO
Zip : 80014-1475
Country : US
Telephone Number : 954-800-5133
Fax Number : 954-900-8991
Authorized Official
Title or Position : OWNER
Name : NERILENE LEENA BALLARD
Credential : PMHNP
Telephone Number : 954-800-5133
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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