Organization
TRIQUETRA THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENAI FORREST DNP, CNP, PMHNP-BC (PMHNP-BC)
(505) 357-4385
Entity
Organization
Contact information
Practice address
19478 HIGHWAY 314, BELEN, NM 87002-8223
(505) 357-4385
(505) 212-0642
Mailing address
1224 SILVA RD, BELEN, NM 87002-7563
(505) 314-4966
(505) 212-0642
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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