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Organization
MATER DEI BEHAVIORAL CONSULT LLC
Active
Organization
MATER DEI BEHAVIORAL CONSULT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISMARIE NNANABU APN (OWNER)
(201) 633-5773
Entity
Organization
Contact information
Practice address
516 BERGEN ST, NEWARK, NJ 07108-1639
(201) 633-5773
(201) 633-8287
Mailing address
516 BERGEN ST, NEWARK, NJ 07108-1639
(201) 633-5773
(201) 633-8287
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
02/28/2026
Last updated
02/28/2026
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