Organization
360TEAM PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE VAP (GENERAL MANAGER)
(502) 244-2420
Entity
Organization
Contact information
Practice address
740 COMMERCE DR STE A, PERRYSBURG, OH 43551-5276
(502) 244-2420
(502) 996-8282
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2420
(502) 996-8282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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