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Organization
MOONRISE MENTAL HEALTH PLLC
Active
Organization
MOONRISE MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRY VAN METER DNP, RN, PMHNP, WHNP (OWNER)
(903) 918-2123
Entity
Organization
Contact information
Practice address
3516 NE STALLINGS DR, NACOGDOCHES, TX 75965-8732
(936) 564-9785
(936) 564-4136
Mailing address
734 COUNTY ROAD 411, GARY, TX 75643-5435
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP111655
TX
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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