# TEAPOT MINISTRY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHELLY LYNN PETERS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356207575
- **Legal business name:** SHELLY LYNN PETERS
- **Authorized official:** SHELLY LYNN PETERS PMHNP-BC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (315) 380-0728

## Contact information

- **Practice address:** 3474 STILES RD, SYRACUSE, NY 13209-1848
- **Practice address phone:** (315) 380-0728
- **Mailing address:** 3474 STILES RD, SYRACUSE, NY 13209-1848
- **Mailing address phone:** (315) 380-0728

## Taxonomy

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

## Other

- **Enumeration date:** 12/31/2025
- **Last updated:** 02/18/2026