Provider Demographics
NPI:1386427680
Name:THE JAMES MENTAL HEALTH INNOVATIONS, LLC
Entity type:Organization
Organization Name:THE JAMES MENTAL HEALTH INNOVATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DELL
Authorized Official - Middle Name:D
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:PMP/MBA
Authorized Official - Phone:757-746-6728
Mailing Address - Street 1:7321 ELKRIDGE CROSSING WAY
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5461
Mailing Address - Country:US
Mailing Address - Phone:757-746-6728
Mailing Address - Fax:
Practice Address - Street 1:6901 SWANHAVEN DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-5719
Practice Address - Country:US
Practice Address - Phone:757-746-6728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty