Organization
P & Q MENTAL HEALTH CLINIC, LLC
Active
Other names
P & Q Mental Health Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
OKSANA LIBELT PMHNP-BC (PSYCHIATRICS NURSE PRACTITIONER)
(917) 753-4575
Entity
Organization
Contact information
Practice address
46 RAVINE DR, MATAWAN, NJ 07747-2965
(917) 753-4575
(732) 970-4956
Mailing address
46 RAVINE DR, MATAWAN, NJ 07747-2965
(917) 753-4575
(732) 970-4956
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922564566
—
NJ
Enumeration date
09/14/2022
Last updated
01/19/2023
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