Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Queen's Village Integrative Mental Health, PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1366371981

Queen's Village Integrative Mental Health, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Havertown, Pennsylvania. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

510 Darby Rd Ste 3C
Havertown, PA 19083-4630
Phone: (267) 977-5249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1366371981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Candace Perry — Aprn · (267) 977-5249
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address510 Darby Rd Ste 3c, Havertown, PA 19083-4630

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