Main Street Mental Health, Pllc

LBN: Main Street Mental Health, Pllc
Main Street Mental Health, Pllc is an health care organization with primary practice located at 11 Canal St , Meredith NH 03253-5902. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Main Street Mental Health, Pllc can be contacted via phone (603) 738-2445, or through St Jean, Joan via phone (603) 738-2445.

Contact Information

Primary practice address
11 Canal St Meredith NH 03253-5902
Phone: (603) 738-2445
Fax:
Website:
Map and Directions
Authorized official contact:
Name: St Jean, Joan Advanced Practice Registered Nurse (APRN)
Phone: (603) 738-2445

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 026459-23-08 New Hampshire

Profile Details

NPI number 1225216625
LBN Legal business name Main Street Mental Health, Pllc
DBA Doing business as
Authorized official St Jean, Joan Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2008
Last updated Dec 8th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225216625 NPPES
New Hampshire Other 50Y011206NH01 ANTHEM
New Hampshire Other 2152562 ANTHEM
New Hampshire MEDICAID 3072631 ANTHEM

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