Provider Demographics
NPI:1912790767
Name:MENTAL HEALTH SERVICES NEAR ME NOW LLC
Entity type:Organization
Organization Name:MENTAL HEALTH SERVICES NEAR ME NOW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:VIGURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-209-5956
Mailing Address - Street 1:606 VENICE BLVD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291-4801
Mailing Address - Country:US
Mailing Address - Phone:209-209-5956
Mailing Address - Fax:
Practice Address - Street 1:606 VENICE BLVD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-4801
Practice Address - Country:US
Practice Address - Phone:209-209-5956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health