# P & Q MENTAL HEALTH CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** P & Q Mental Health Clinic, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437871654
- **Authorized official:** OKSANA LIBELT PMHNP-BC (PSYCHIATRICS NURSE PRACTITIONER)
- **Authorized official phone:** (917) 753-4575

## Contact information

- **Practice address:** 46 RAVINE DR, MATAWAN, NJ 07747-2965
- **Practice address phone:** (917) 753-4575
- **Practice address fax:** (732) 970-4956
- **Mailing address:** 46 RAVINE DR, MATAWAN, NJ 07747-2965
- **Mailing address phone:** (917) 753-4575
- **Mailing address fax:** (732) 970-4956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2022
- **Last updated:** 01/19/2023