Provider Demographics
NPI:1043008139
Name:TONYA'S MENTALITY, LLC
Entity type:Organization
Organization Name:TONYA'S MENTALITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPTERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:337-858-2712
Mailing Address - Street 1:PO BOX 73
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-0073
Mailing Address - Country:US
Mailing Address - Phone:337-858-2712
Mailing Address - Fax:
Practice Address - Street 1:1535 W MAIN ST
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-6808
Practice Address - Country:US
Practice Address - Phone:337-506-2294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty