institution
Divine Mental Health Treatment
Psychiatric/Mental Health Nurse Practitioner in Middletown, New York
NPI 1053902569

Divine Mental Health Treatment is a Psychiatric/Mental Health Nurse Practitioner based in Middletown, NY and is specialized in Psychiatric/Mental Health. Divine Mental Health Treatment practices in Middletown, NY. The NPI Number for Divine Mental Health Treatment is 1053902569 and holds a License No. (New York).

The current practice location address for Divine Mental Health Treatment is 27 Carpenter Ave Ste 7, Middletown, NY and can be reached out via phone at 452-388-8538 and via fax at 646-619-4083.

Location: 27 Carpenter Ave Ste 7, Middletown, NY, 10940-2401
institution
Provider Profile Details
NPI Number
1053902569
Provider Name
Divine Mental Health Treatment
Credential
Provider Entity Type
Organization
Address
27 Carpenter Ave Ste 7, Middletown, NY, 10940-2401
Phone Number
452-388-8538
Fax Number
646-619-4083
Provider Enumeration Date
01/27/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04672304 05 NY
institution
Provider Business Practice Location Address Details
Address
27 Carpenter Ave Ste 7
City
State
Zip
10940-2401
Phone Number
452-388-8538
Fax Number
646-619-4083
person
Provider Business Mailing Address Details
Address
27 Carpenter Ave Ste 7
City
State
Zip
10940-2401
Phone Number
452-388-8538
Fax Number
646-619-4083
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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