# WEST PEAK MENTAL HEALTH

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

## Provider details

- **NPI number:** 1154134534
- **Authorized official:** KELLY MARIE BERGSTEDT APRN (PMHNP)
- **Authorized official phone:** (207) 432-6482

## Contact information

- **Practice address:** 6855 EAGLE RIDGE RD, PENNGROVE, CA 94951-9572
- **Practice address phone:** (720) 432-6482
- **Mailing address:** 6855 EAGLE RIDGE RD, PENNGROVE, CA 94951-9572

## 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:** 01/29/2025
- **Last updated:** 01/29/2025