Provider Demographics
NPI:1124794599
Name:PSYCHIATRIC ARNP SERVICES, LLC
Entity type:Organization
Organization Name:PSYCHIATRIC ARNP SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNTRESSA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:833-437-5433
Mailing Address - Street 1:11100 SW 93RD COURT RD
Mailing Address - Street 2:SUITE 10-BOX 118
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:725 E. SILVER SPRINGS BLVD
Practice Address - Street 2:UNIT 12
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-3447
Practice Address - Country:US
Practice Address - Phone:833-437-5433
Practice Address - Fax:833-999-0975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)