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Organization
P360 CARE SERVICES PLLC DBA PSYCH 360
Active
Organization
P360 CARE SERVICES PLLC DBA PSYCH 360
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN NICHOLS (SVP OF REVENUE OPERATIONS)
(615) 334-5078
Entity
Organization
Contact information
Practice address
246 FRIENDSHIP CIR, BEAVER, PA 15009-9704
(844) 291-4535
Mailing address
PO BOX 7977, CAROL STREAM, IL 60197-7977
(844) 291-4535
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
04/27/2026
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