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Organization
DIVINE MENTAL HEALTH TREATMENT
Active
Organization
DIVINE MENTAL HEALTH TREATMENT
Active
Other names
Divine Mental Health Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA MAYERS NURSE PRACTITIONER (PSYCHIATRIC NURSE PRACTITIONER)
(845) 238-8853
Entity
Organization
Contact information
Practice address
27 CARPENTER AVE STE 7, MIDDLETOWN, NY 10940-2401
(452) 388-8538
(646) 619-4083
Mailing address
27 CARPENTER AVE STE 7, MIDDLETOWN, NY 10940-2401
(845) 238-8853
(646) 619-4083
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04672304
—
NY
Enumeration date
01/27/2021
Last updated
03/25/2022
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