Provider Demographics
NPI:1740172626
Name:VIRTUE MENTAL HEALTH STUDIO LLC
Entity type:Organization
Organization Name:VIRTUE MENTAL HEALTH STUDIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:QUJUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TWILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:313-367-9453
Mailing Address - Street 1:6605 LONGSHORE ST STE 240
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2774
Mailing Address - Country:US
Mailing Address - Phone:313-367-9453
Mailing Address - Fax:
Practice Address - Street 1:5212 LIAM DR
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-9804
Practice Address - Country:US
Practice Address - Phone:313-367-9453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty