Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Rooted Behavioral Health LLC

Organization Psychiatry Physician · NPI 1073364469

Mountain Rooted Behavioral Health LLC is a Psychiatry Physician in Beaver, West Virginia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

106 Lockheed Dr
Beaver, WV 25813-8962
Phone: (304) 253-5155
Fax: (681) 207-7011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1073364469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Rendon — Owner · (304) 731-0991
Other names Mountain Rooted Behavioral Health
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024
Mailing addressPo Box 91, Hockessin, DE 19707-0091