Organization
INCLUSIVE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINESSA MAXWELL PMHNP-BC (MANAGER)
(347) 697-3037
Entity
Organization
Contact information
Practice address
920 CO OP CITY BLVD APT 14D, BRONX, NY 10475-1634
(347) 697-3037
Mailing address
920 CO OP CITY BLVD APT 14D, BRONX, NY 10475-1634
(347) 697-3037
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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