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Organization

VIVD MIND PSYCHIATRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MEGHAN ELIZABETH CHARLES PMHNP (OWNER)
(570) 460-6808
Entity
Organization

Contact information

Practice address
80 CLOVER HILL LN, SPRING CITY, PA 19475-2312
(570) 460-6808
Mailing address
80 CLOVER HILL LN, SPRING CITY, PA 19475-2312

Taxonomy

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

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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