# QUEEN'S VILLAGE INTEGRATIVE MENTAL HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366371981
- **Authorized official:** CANDACE PERRY (APRN)
- **Authorized official phone:** (267) 977-5249

## Contact information

- **Practice address:** 510 DARBY RD STE 3C, HAVERTOWN, PA 19083-4630
- **Practice address phone:** (267) 977-5249
- **Mailing address:** 510 DARBY RD STE 3C, HAVERTOWN, PA 19083-4630

## 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:** 05/18/2026
- **Last updated:** 05/18/2026