Provider Demographics
NPI:1861183048
Name:SYNAPSES HEALTH LLC
Entity type:Organization
Organization Name:SYNAPSES HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNP/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:LORETTA
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-804-3685
Mailing Address - Street 1:PO BOX 663
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-0663
Mailing Address - Country:US
Mailing Address - Phone:610-590-9824
Mailing Address - Fax:610-379-3920
Practice Address - Street 1:2412 GENTLE HOLLOW DR
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-3985
Practice Address - Country:US
Practice Address - Phone:610-590-9824
Practice Address - Fax:610-379-3920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty