Organization
MELLOWMINDS PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PEREZ PMHNP-BC (PMHNP-BC)
(908) 472-5871
Entity
Organization
Contact information
Practice address
193 TERRILL RD, FANWOOD, NJ 07023-1055
(908) 472-5871
Mailing address
26 MARY LN, FANWOOD, NJ 07023-1009
(908) 472-5871
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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