# PEACEFUL MIND NURSE PRACTITIONER IN PSYCHIATRY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SAKINA'S T.E.A. House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649046467
- **Authorized official:** SAKINA STARR HAYDEN NURSE PRACTITIONER (OWNER)
- **Authorized official phone:** (630) 609-0872

## Contact information

- **Practice address:** 335 S WELLWOOD AVE, LINDENHURST, NY 11757-4906
- **Practice address phone:** (631) 609-0562
- **Mailing address:** 1488 DEER PARK AVE, NORTH BABYLON, NY 11703-1208
- **Mailing address phone:** (646) 434-6238

## 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:** 12/01/2023
- **Last updated:** 12/01/2023