Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Child & Family |
364SP0810X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1568203016 |
| LBN Legal business name | 360 MENTAL HEALING LLC |
| Authorized official | VAISHALI DESAI - (APN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/06/2024 |
| Last updated | 05/12/2026 - About a month ago |
| Identifiers | n/a |
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