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 provides Psychiatry Physician services 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