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Organization

MOUNTAIN LAUREL PSYCHIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY HARPER PMHNP-BC (APRN)
(601) 941-8243
Entity
Organization

Contact information

Practice address
120 PROFESSIONAL PLACE, SUITE 102, BRIDGEPORT, WV 26330
(304) 878-8246
Mailing address
2600 MIDDLETOWN COMMONS, PMB 9600 SUITE 130, WHITE HALL, WV 26554
(601) 941-8243

Taxonomy

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

Other

Enumeration date
03/19/2026
Last updated
04/03/2026
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