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Organization

DYNAMIC MENTAL HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EZINNE EZETE APRN, PMHNP-BC (MANAGING MEMBER)
(860) 758-6800
Entity
Organization

Contact information

Practice address
48 BI STATE PLZ # 841, OLD TAPPAN, NJ 07675-7003
(860) 758-6800
Mailing address
48 BI STATE PLZ, OLD TAPPAN, NJ 07675-7003

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
12/22/2025
Last updated
05/09/2026
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