# INNER HEALING PSYCHIATRIC SERVICES, LLC

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

## Provider details

- **NPI number:** 1144073586
- **Authorized official:** MAHIP GUPTA NURSE PRACTITIONER (PMHNP/OWNER)
- **Authorized official phone:** (856) 470-7367

## Contact information

- **Practice address:** 405 ALLOWAY ST, HAINESPORT, NJ 08036-3708
- **Practice address phone:** (609) 850-4292
- **Mailing address:** 525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422

## 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:** 04/08/2024
- **Last updated:** 04/08/2024