Organization
INNOVATIVE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVANYA KAMINENI (PROVIDER)
(732) 713-6280
Entity
Organization
Contact information
Practice address
157 TENNYSON DR, PLAINSBORO, NJ 08536-3033
(732) 713-6280
(866) 892-0650
Mailing address
157 TENNYSON DR, PLAINSBORO, NJ 08536-3033
(732) 713-6280
(866) 892-0650
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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