Organization
PINE PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BAILEY APRN (OWNER)
(603) 865-7157
Entity
Organization
Contact information
Practice address
2 S PARK ST, LEBANON, NH 03766-1384
(603) 865-7157
Mailing address
2 S PARK ST, LEBANON, NH 03766-1384
(603) 865-7157
(603) 709-2752
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
09/13/2023
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