QUEEN'S VILLAGE INTEGRATIVE MENTAL HEALTH, PLLC
NPI 1366371981
Nurse Practitioner - Psychiatric/Mental Health in Havertown, PA
Active since May 18, 2026
About Queen's Village Integrative Mental Health, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUEEN'S VILLAGE INTEGRATIVE MENTAL HEALTH, PLLC (NPI 1366371981) is a healthcare organization registered as a psychiatric/mental health in Havertown, Pennsylvania and active in the NPI registry since May 2026. The organization lists Candace Perry, Aprn, as its authorized official.
NPPES Registry Identity
NPI1366371981
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameQUEEN'S VILLAGE INTEGRATIVE MENTAL HEALTH, PLLC
Location Address510 DARBY RD STE 3CHavertown, PA 19083-4630
Mailing Address510 Darby Rd Ste 3cHavertown, PA 19083-4630
Phone(267) 977-5249
Organization SubpartNo
Authorized OfficialCandace PerryAprn · (267) 977-5249
Enumeration DateMay 18, 2026
NPPES CertifiedMay 18, 2026
✔ NPI 1366371981 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
510 DARBY RD STE 3C, Havertown, PA 19083
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
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366371981, enumerated as an "organization" on May 18, 2026.
The provider is located at 510 DARBY RD STE 3C HAVERTOWN, PA 19083 and the phone number is (267) 977-5249.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
