Organization · Type 2 NPI

Metta Vita Health LLC

Psychiatric/Mental Health Nurse Practitioner · Fort Mill, SC

NPI number 1629688171 Active

Practice location

1808 Second Baxter Xing Ste 208
Fort Mill, SC 29708-6492

Call (419) 297-3657 Map

Fax (833) 728-0366

Mailing address

1808 Second Baxter Xing, Suite 208
Fort Mill, SC 29708

Specialties and licenses

Taxonomy	Code	License
Developmental - Behavioral Pediatrics Physician	2080P0006X	None listed
Pediatric Nurse Practitioner	363LP0200X	None listed
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

Another provider at this address

Springs of Life Counseling LLCClinical Social Worker Fort Mill, SC NPI 1770063315

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NPI record

NPI: 1629688171
Entity type: Organization (Type 2)
Issued: Aug 8, 2020
Last updated: Feb 1, 2024
Status: Active

Other names

<unavail>
Lindsey B. Health Services LLC · former legal business name
Lindsey B. Health Services LLC · former legal business name

Authorized official

Mrs. Lindsey Nicole Bauman, NP
NP
(419) 297-3657

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629688171

Metta Vita Health LLC's National Provider Identifier is 1629688171, issued on Aug 8, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Mill, SC. The record was last updated on Feb 1, 2024.