Organization
PRIME MENTAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HAUENSTEIN DNP, APRN, PMHNP-BC (PSYCHIATRIC MENTAL HEALTH NP)
(380) 285-1288
Entity
Organization
Contact information
Practice address
211 STOCKSDALE DR, MARYSVILLE, OH 43040-5507
(380) 285-1288
(937) 806-4104
Mailing address
16685 RAINTREE DR, MARYSVILLE, OH 43040-7062
(380) 285-1288
(937) 806-4104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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