Organization · Type 2 NPI
Telemental Health and Addiction LLC
Psychiatric/Mental Health Nurse Practitioner · Holbrook, NY
NPI number
1790657302
Active
Practice location
10 Fox Ct
Holbrook, NY 11741-5300
Fax (989) 256-0415
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 1790657302
Telemental Health and Addiction LLC's National Provider Identifier is 1790657302, issued on Sep 22, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Holbrook, NY. The record was last updated on Sep 22, 2025.