NPI 1083453161

Mindful Mountain Wellness Center

Organisation Child & Adolescent Psychiatry Physician Roanoke, VA

Practice location

Address: 3140 Chaparral Dr STE 109c, Roanoke, VA 24018-4355
Phone: (540) 792-3872
Fax: (540) 767-6555

Authorised official

Name: Ryan Matthew White
Title: Psychiatrist
Phone: (210) 315-5629

Registered specialties (4)

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X

Other Psychiatry & Neurology providers in Virginia →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Virginia →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Virginia →

Registry record

NPI: 1083453161
Entity type: Organization
NPI issued: 20 May 2024
Record last updated: 2 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.