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Main Street Mental Health, Pllc
Psychiatric/Mental Health Nurse Practitioner in Meredith, New Hampshire
NPI 1225216625

Main Street Mental Health, Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Meredith, NH and is specialized in Psychiatric/Mental Health. Main Street Mental Health, Pllc practices in Meredith, NH. The NPI Number for Main Street Mental Health, Pllc is 1225216625 and holds a License No. (New Hampshire).

The current practice location address for Main Street Mental Health, Pllc is 11 Canal St, Meredith, NH and can be reached out via phone at 603-738-2445.

Location: 11 Canal St, Meredith, NH, 03253-0535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225216625
Provider Name
Main Street Mental Health, Pllc
Credential
Provider Entity Type
Organization
Address
11 Canal St, Meredith, NH, 03253-0535
Phone Number
603-738-2445
Fax Number
Provider Enumeration Date
02/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50Y011206NH01 01 NH ANTHEM
2152562 01 CIGNA
3072631 05 NH
institution
Provider Business Practice Location Address Details
Address
11 Canal St
City
Meredith
State
New Hampshire
Zip
03253-5902
Phone Number
603-738-2445
Fax Number
person
Provider Business Mailing Address Details
Address
11 Canal St
City
Meredith
State
New Hampshire
Zip
03253-5902
Phone Number
603-738-2445
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
026459-23-08 (New Hampshire)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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