MENTAL WELLNESS RESIDENTIAL NPI 1427588227

NPI Information

  • NPI: 1427588227
  • Provider Name: MENTAL WELLNESS RESIDENTIAL
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 1420 SPRUCE STREET EXTRENSION
    MARTINSVILLE, VA
    ZIP 24412
  • Phone: (276) 790-3473

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NPI Details

MENTAL WELLNESS RESIDENTIAL is an assisted living and mental illness assisted living facility in Martinsville, VA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. MENTAL WELLNESS RESIDENTIAL NPI is 1427588227. The provider is registered as an organization entity type.

The provider's business location address is:

1420 SPRUCE STREET EXTRENSION
MARTINSVILLE, VA
ZIP 24412
Phone: (276) 790-3473
Fax: (276) 632-2010

The provider's authorized official is Valerie B Udofia .
The authorized official title is Ceo and has the following contact phone number (919) 697-7991.

The enumeration date for this NPI number is 6/14/2017 and was last updated on 6/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

What is NPI?

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This page was last updated on: 11/21/2025

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