A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI Number | 1598361651 |
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| LBN Legal business name | PROGRESSIVE MENTAL HEALTH | ||||
| Authorized official | SHERANN IVY - (APN) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/04/2020 | ||||
| Last updated | 02/17/2021 - About 5 years ago | ||||
| Identifiers |
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PROGRESSIVE MENTAL HEALTH
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