Provider Demographics
NPI:1295442994
Name:MERCY THRONE BEHAVIORAL HEALTH INSTITUTE LLC
Entity type:Organization
Organization Name:MERCY THRONE BEHAVIORAL HEALTH INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEBUDE
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:973-202-4986
Mailing Address - Street 1:2386 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5723
Mailing Address - Country:US
Mailing Address - Phone:973-761-3935
Mailing Address - Fax:
Practice Address - Street 1:2386 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5723
Practice Address - Country:US
Practice Address - Phone:973-761-3935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty