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Organization
OPTIMUM MENTAL HEALTH HEALING
Active
Organization
OPTIMUM MENTAL HEALTH HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY EICHELBERGER NP (OWNER/AUTHORIZED OFFICIAL)
(618) 641-3588
Entity
Organization
Contact information
Practice address
208 W POINTE DR STE B, SWANSEA, IL 62226-8302
(618) 641-3588
Mailing address
1404 NOTTINGHILL DR, O FALLON, IL 62269-6883
(618) 641-3588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
10/26/2023
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