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Organization
ST MICHAEL MENTAL CARE CONSULT LLC
Active
Organization
ST MICHAEL MENTAL CARE CONSULT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ENWERE (APN/OWNER)
(973) 412-6427
Entity
Organization
Contact information
Practice address
90 WASHINGTON ST, EAST ORANGE, NJ 07017-1050
(973) 304-5180
(973) 399-3786
Mailing address
95 GRANT PL, IRVINGTON, NJ 07111-1441
(973) 304-5180
(973) 399-3786
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
02/11/2026
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