Organization
MHMP, LLC
Active
Other names
Seaglass
Organization subpart
No
Provider details
NPI number
Authorized official
MARYFRANCES DESTENO APRN (PROVIDER)
(203) 918-4488
Entity
Organization
Contact information
Practice address
515 CENTERPOINT DR STE 901, MIDDLETOWN, CT 06457-7570
(203) 918-4488
Mailing address
515 CENTERPOINT DR STE 901, MIDDLETOWN, CT 06457-7570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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