# P360 CARE SERVICES PLLC DBA PSYCH 360

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

## Provider details

- **NPI number:** 1750058202
- **Authorized official:** BRIAN NICHOLS (SVP OF REVENUE OPERATIONS)
- **Authorized official phone:** (615) 334-5078

## Contact information

- **Practice address:** 246 FRIENDSHIP CIR, BEAVER, PA 15009-9704
- **Practice address phone:** (844) 291-4535
- **Mailing address:** PO BOX 7977, CAROL STREAM, IL 60197-7977
- **Mailing address phone:** (844) 291-4535

## 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:** 08/24/2021
- **Last updated:** 04/27/2026
