# VOLTAIRE BEHAVIORAL HEALTH AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1750908034
- **Authorized official:** MRS. MARLAINE REGISTE NURSE PRACTITIONER (CEO)
- **Authorized official phone:** (850) 544-1414

## Contact information

- **Practice address:** 1200 G ST NW STE 800, WASHINGTON, DC 20005-6705
- **Practice address phone:** (202) 743-1955
- **Practice address fax:** (773) 373-0296
- **Mailing address:** 6806 RUSKIN ST, SPRINGFIELD, VA 22150-2041
- **Mailing address phone:** (850) 544-1414
- **Mailing address fax:** (773) 373-0296

## 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:** 07/02/2020
- **Last updated:** 07/02/2020