Organization
VITAL MIND PSYCHIATRY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MISTIQUE CHANTAY HENRY PMHNP (CNP)
(614) 597-2132
Entity
Organization
Contact information
Practice address
6055 TAIN DR # 202, DUBLIN, OH 43017-8560
(614) 233-1825
Mailing address
711 S GRANT AVE, COLUMBUS, OH 43206-2233
(614) 597-2132
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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