Psychedelic Psych
NPI #1932938115 in Mt Sterling, Kentucky
Provider Information
- NPI Number
- 1932938115
- Entity Type
- Organization
- Organization Name
- Psychedelic Psych
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jul 29, 2024
- Last Updated
- Jul 29, 2024
Practice Location
- Address
- 601 DOE RUN DR STE 4
- City
- Mt Sterling
- State
- Kentucky
- ZIP Code
- 40353-9097
- Phone
- (859) 710-8803
Authorized Official
- Name
- SHAWNDA CARTER, APRN
- Title
- CEO
- Phone
- (859) 710-8803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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