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Organization
TEAPOT MINISTRY INC
Active
Organization
TEAPOT MINISTRY INC
Active
Parent organization
SHELLY LYNN PETERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHELLY LYNN PETERS
Authorized official
SHELLY LYNN PETERS PMHNP-BC (EXECUTIVE DIRECTOR)
(315) 380-0728
Entity
Organization
Contact information
Practice address
3474 STILES RD, SYRACUSE, NY 13209-1848
(315) 380-0728
Mailing address
3474 STILES RD, SYRACUSE, NY 13209-1848
(315) 380-0728
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
12/31/2025
Last updated
02/18/2026
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