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Organization
VOLTAIRE BEHAVIORAL HEALTH AND WELLNESS, LLC
Active
Organization
VOLTAIRE BEHAVIORAL HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLAINE REGISTE NURSE PRACTITIONER (CEO)
(850) 544-1414
Entity
Organization
Contact information
Practice address
1200 G ST NW STE 800, WASHINGTON, DC 20005-6705
(202) 743-1955
(773) 373-0296
Mailing address
6806 RUSKIN ST, SPRINGFIELD, VA 22150-2041
(850) 544-1414
(773) 373-0296
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
07/02/2020
Last updated
07/02/2020
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