# MERGENCE PSYCHIATRIC HEALTH & WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1548072150
- **Authorized official:** VIVIAN THOMAS (OWNER)
- **Authorized official phone:** (305) 537-8143

## Contact information

- **Practice address:** 1489 W PALMETTO PARK RD STE 410, BOCA RATON, FL 33486-3325
- **Practice address phone:** (305) 537-8143
- **Mailing address:** 5918 PATIO DR, BOCA RATON, FL 33433-5451
- **Mailing address phone:** (305) 537-8143

## 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:** 01/21/2025
- **Last updated:** 01/21/2025