Organization
TEAPOT MINISTRY INC
Active
Parent organization
SHELLY LYNN PETERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHELLY LYNN PETERS
Authorized official
SHELLY LYNN PETERS PMHNP-BC (EXECUTIVE DIRECTOR)
(315) 380-0728
Entity
Organization
Contact information
Practice address
3474 STILES RD, SYRACUSE, NY 13209-1848
(315) 380-0728
Mailing address
3474 STILES RD, SYRACUSE, NY 13209-1848
(315) 380-0728
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/31/2025
Last updated
02/18/2026
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