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LAURIE B TEAL INTEGRATIVE WELLNESS NP IN PSYCHIATRY, PLLC
NPI 1154072395
Nurse Practitioner - Psychiatric/Mental Health in Shushan, NY

Active since January 10, 2022
725 JUNIPER SWAMP RD, SHUSHAN, NY 12873(518) 812-6842(518) 338-0174 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurie B Teal Integrative Wellness Np In Psychiatry, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURIE B TEAL INTEGRATIVE WELLNESS NP IN PSYCHIATRY, PLLC (NPI 1154072395) is a healthcare organization registered as a psychiatric/mental health in Shushan, New York and active in the NPI registry since January 2022. The organization lists Laurie B Teal, Owner, as its authorized official.

NPPES Registry Identity

NPI1154072395
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLAURIE B TEAL INTEGRATIVE WELLNESS NP IN PSYCHIATRY, PLLC
Location Address725 JUNIPER SWAMP RDShushan, NY 12873-2910
Mailing Address725 Juniper Swamp RdShushan, NY 12873-2910 · (518) 812-6842 · Fax (518) 338-0174
Phone(518) 812-6842
Fax(518) 338-0174
Organization SubpartNo
Authorized OfficialLaurie B TealOwner · (518) 812-6842
Enumeration DateJanuary 10, 2022
NPPES CertifiedJanuary 10, 2022
✔ NPI 1154072395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
725 JUNIPER SWAMP RD, Shushan, NY 12873
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Other Identifiers 1

Medicaid05050748NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIE B TEAL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
725 JUNIPER SWAMP RD
SHUSHAN, NY 12873
Washington County (518) 812-6842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurie B Teal Integrative Wellness Np In Psychiatry, PLLC's NPI number?

The NPI number for Laurie B Teal Integrative Wellness Np In Psychiatry, PLLC is 1154072395. It was assigned to this organization in the NPPES registry on January 10, 2022.

Where is Laurie B Teal Integrative Wellness Np In Psychiatry, PLLC located?

Laurie B Teal Integrative Wellness Np In Psychiatry, PLLC is located at 725 Juniper Swamp Rd, Shushan, NY 12873. The listed phone number is (518) 812-6842.

What is Laurie B Teal Integrative Wellness Np In Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Laurie B Teal Integrative Wellness Np In Psychiatry, PLLC was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.