Organization · Type 2 NPI
Mental Wellness Psychiatry
Psychiatric/Mental Health Nurse Practitioner · Florence, OR
NPI number
1629861091
Active
Practice location
188 Huckleberry Ln
Florence, OR 97439-8779
Fax (862) 205-4480
Mailing address
2386 Morris Ave Ste 205
Union, NJ 07083-5723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1629861091
Mental Wellness Psychiatry's National Provider Identifier is 1629861091, issued on May 27, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Florence, OR. The record was last updated on Jul 3, 2025.