Healthcare Provider Details

I. General information

NPI: 1346048147
Provider Name (Legal Business Name): INNERDRIVE MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 MARNE HWY
MOORESTOWN NJ
08057-3073
US

IV. Provider business mailing address

6 19TH ST
BURLINGTON NJ
08016-4608
US

V. Phone/Fax

Practice location:
  • Phone: 609-468-2397
  • Fax:
Mailing address:
  • Phone: 609-864-6378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. KRISTINA M. LEINHEISER
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 609-468-2397