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NPI Code Detail

MEDICARE: MARIGOLD CENTER FOR MENTAL HEALTH INC

MEDICARE: MARIGOLD CENTER FOR MENTAL HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1609680768
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARIGOLD CENTER FOR MENTAL HEALTH INC
Provider Business Mailing Address
First Line : 1726 ROUTE 206
Second Line :
City : SOUTHAMPTON
State : NJ
Zip : 08088-1425
Country : US
Telephone Number : 856-200-3141
Fax Number :
Provider Business Practice Location Address
First Line : 100 ASHURST LN STE 115
Second Line :
City : MOUNT HOLLY
State : NJ
Zip : 08060-1202
Country : US
Telephone Number : 856-200-3141
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AMANDA MITCHELL
Credential : PMHNP-BC
Telephone Number : 856-200-3141
Provider Enumeration Date : 02/06/2025
Last Update Date : 02/06/2025

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Directions to “MARIGOLD CENTER FOR MENTAL HEALTH INC ” Practice Location

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