Provider Demographics
NPI:1053148403
Name:BELLA MENTE INTEGRATIVE HEALTH
Entity type:Organization
Organization Name:BELLA MENTE INTEGRATIVE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOULARTE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:831-801-6361
Mailing Address - Street 1:501 SAN BENITO ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-3903
Mailing Address - Country:US
Mailing Address - Phone:831-801-6361
Mailing Address - Fax:
Practice Address - Street 1:501 SAN BENITO ST STE 201
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-3903
Practice Address - Country:US
Practice Address - Phone:831-801-6361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & AdolescentGroup - Multi-Specialty
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Multi-Specialty