# APOTHECA PSYCHIATRY LLC

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

## Provider details

- **NPI number:** 1174319578
- **Authorized official:** MS. JILL COLLEEN DEFELICE PMHNP (PSYCH NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (814) 233-9796

## Contact information

- **Practice address:** 507 BROAD AVE, BELLE VERNON, PA 15012-1405
- **Practice address phone:** (814) 233-9796
- **Mailing address:** 219 INDEPENDENCE ST, PERRYOPOLIS, PA 15473-5300
- **Mailing address phone:** (814) 233-9796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2025
- **Last updated:** 01/30/2026