| P & Q Mental Health Clinic, Llc | |
|
46 Ravine Dr Matawan NJ 07747-2965 | |
| (917) 753-4575 | |
| (732) 970-4956 |
| Full Name | P & Q Mental Health Clinic, Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 46 Ravine Dr, Matawan, New Jersey |
| Authorized Official Name and Position | Oksana Libelt (PSYCHIATRICS NURSE PRACTITIONER) |
| Authorized Official Contact | 9177534575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P & Q Mental Health Clinic, Llc 46 Ravine Dr Matawan NJ 07747-2965 Ph: (917) 753-4575 | P & Q Mental Health Clinic, Llc 46 Ravine Dr Matawan NJ 07747-2965 Ph: (917) 753-4575 |
| NPI Number | 1437871654 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437871654 | NPI | - | NPPES |
| 1922564566 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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