Organization
SAGE MENTAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEE LEITE FNP, PHMHP (OWNER)
(302) 401-1005
Entity
Organization
Contact information
Practice address
200 BANNING ST STE 270, DOVER, DE 19904-3489
(302) 401-1005
Mailing address
PO BOX 258, MAGNOLIA, DE 19962-0258
(302) 401-1005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
11/05/2024
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