# VICTORY PSYCH CONSULTATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124781364
- **Authorized official:** MR. YAHAYA A ANIMASHAUN APN (NURSE PRACTIONER)
- **Authorized official phone:** (908) 247-8768

## Contact information

- **Practice address:** 188 FRIES MILL RD STE E2, BLACKWOOD, NJ 08012-2015
- **Practice address phone:** (551) 214-4475
- **Practice address fax:** (609) 237-0772
- **Mailing address:** 188 FRIES MILL RD STE E2, BLACKWOOD, NJ 08012-2015
- **Mailing address phone:** (551) 214-4475
- **Mailing address fax:** (609) 237-0772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2021
- **Last updated:** 07/22/2026