Organization
MOONRISE MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRY VAN METER DNP, RN, PMHNP, WHNP (OWNER)
(903) 918-2123
Entity
Organization
Contact information
Practice address
3516 NE STALLINGS DR, NACOGDOCHES, TX 75965-8732
(936) 564-9785
(936) 564-4136
Mailing address
734 COUNTY ROAD 411, GARY, TX 75643-5435
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP111655
TX
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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