Provider Demographics
NPI:1730765744
Name:MENTAL HEALTHWORKS, PLLC
Entity type:Organization
Organization Name:MENTAL HEALTHWORKS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARA-JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DONAGHEY
Authorized Official - Suffix:
Authorized Official - Credentials:ANP-BC, PMHNP-BC
Authorized Official - Phone:603-417-4378
Mailing Address - Street 1:11 NORTHEASTERN BLVD STE 240A
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-3139
Mailing Address - Country:US
Mailing Address - Phone:603-417-4378
Mailing Address - Fax:867-292-6142
Practice Address - Street 1:11 NORTHEASTERN BLVD STE 240A
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-3139
Practice Address - Country:US
Practice Address - Phone:603-417-4378
Practice Address - Fax:867-292-6142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-20
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care