Provider Demographics
NPI:1790525632
Name:CNT PSYCHIATRIC SERVICES LLC
Entity type:Organization
Organization Name:CNT PSYCHIATRIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIE FRANTZCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MERISTIL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:347-303-4240
Mailing Address - Street 1:6555 MONMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413-3405
Mailing Address - Country:US
Mailing Address - Phone:347-303-4240
Mailing Address - Fax:
Practice Address - Street 1:6555 MONMOUTH RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33413-3405
Practice Address - Country:US
Practice Address - Phone:347-303-4240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty