Individual
MARK EUGENE HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2248 BROADWAY STE 1177, NEW YORK, NY 10024-5805
(678) 923-8588
Mailing address
PO BOX 87208, COLLEGE PARK, GA 30337-0208
(678) 923-8588
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN291628
GA
Other
Enumeration date
08/20/2025
Last updated
03/25/2026
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