# MILICARE PSYCHIATRY, PLLC

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

## Provider details

- **NPI number:** 1871484790
- **Authorized official:** LARREN TEZENO PMHNP (PSYCHIATRIC MENTAL HEALTH NURSE PRA)
- **Authorized official phone:** (828) 436-0228

## Contact information

- **Practice address:** 214 CHARLOTTE RD, RUTHERFORDTON, NC 28139-2914
- **Practice address phone:** (828) 436-0228
- **Mailing address:** 145 RIVERSIDE DR, RUTHERFORDTON, NC 28139-8162
- **Mailing address phone:** (337) 842-4703

## 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:** 07/10/2025
- **Last updated:** 07/10/2025