Organization
INNER HEALING PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHIP GUPTA NURSE PRACTITIONER (PMHNP/OWNER)
(856) 470-7367
Entity
Organization
Contact information
Practice address
405 ALLOWAY ST, HAINESPORT, NJ 08036-3708
(609) 850-4292
Mailing address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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